Individual
ELLAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
108 PADDINGTON STA, MAYLENE, AL 35114-5445
(205) 413-1560
Mailing address
108 PADDINGTON STA, MAYLENE, AL 35114-5445
(205) 413-1560
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1510
AL
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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