Individual
DR. LENA DANIELLE EBRON
Active
Individual
DR. LENA DANIELLE EBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0011182
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049053034
ID CARD
GA
Enumeration date
01/21/2014
Last updated
08/26/2020
Update your record
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