Individual
ELLINA SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
2655 COMMONS BLVD, SUITE 120, BEAVERCREEK, OH 45431-3773
(937) 320-9131
Mailing address
2928 ROYAL CREST CT, COLUMBUS, OH 43235-7263
(614) 260-7445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016739
OH
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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