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MICHAEL STEPHEN ELLENBOGEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPTA

Contact information

Practice address
1335 JOHNSON RD, CHAMBERSBURG, PA 17201-7505
(717) 263-1617
Mailing address
176 ROCKY FOUNTAIN DR, GREENCASTLE, PA 17225-8441
(717) 597-8132

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005265L
PA

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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