Individual
MRS. ELLEN M SEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
100 HAYES ST, TOCCOA, GA 30577-2067
(706) 886-3883
(706) 886-3812
Mailing address
100 HAYES ST, TOCCOA, GA 30577-2067
(706) 886-3883
(706) 886-3812
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT001906
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00817979A
—
GA
Enumeration date
09/21/2007
Last updated
09/21/2007
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