Individual
BENJAMIN ELLENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 KILDAIRE PARK DR STE 202, CARY, NC 27518-8144
(919) 233-9557
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305209652
VA
225100000X
Physical Therapist
Primary
P17060
NC
225200000X
Physical Therapy Assistant
P17060
NC
Other
Enumeration date
08/18/2015
Last updated
06/18/2025
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