Individual
ELIZABETH JOY SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
508 RISON ST, DANVILLE, VA 24541-2457
(434) 799-4540
Mailing address
996 HARPER RD, DRY FORK, VA 24549-5204
(434) 228-3774
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306604784
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2306604784
—
VA
Enumeration date
06/03/2019
Last updated
06/03/2019
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