Individual
EBENEZER CHELLADURAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
240 HOSPITAL RD, WHITESBURG ARH HOSPITAL, WHITESBURG, KY 41858
(606) 633-3500
(606) 633-3627
Mailing address
609 PINE CREEK RD, APT C, MAYKING, KY 41837-9040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006575
KY
Other
Enumeration date
04/29/2015
Last updated
04/29/2015
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