Individual
ABBY M ELLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4223 ORANGE BEACH BLVD, SUITE D, ORANGE BEACH, AL 36561-3459
(251) 981-1300
(251) 981-1305
Mailing address
2652 HAMPTON PARK CIR, FOLEY, AL 36535-1130
(251) 971-6219
(256) 350-7757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTH4586
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51002181
BCBS
AL
Enumeration date
07/11/2006
Last updated
07/08/2007
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