Individual
MS. ELAINE E SHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, CSCS
Contact information
Practice address
1821 CLFTON RD, ATLANTA, GA 30329
(404) 728-4582
Mailing address
821 RALPH MCGILL BLVD NE, #3215, ATLANTA, GA 30306-4364
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005247
GA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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