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Individual

MRS. BARBARA DENISE ELLENBURG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
501 N WOODBURN DR, DOTHAN, AL 36303-1995
(334) 794-1000
Mailing address
206 CENTRE DR, DOTHAN, AL 36303-9338
(334) 333-1985

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2810
AL
225100000X
Physical Therapist
AL

Other

Enumeration date
01/22/2020
Last updated
01/22/2020
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