Individual
KATHRYN MARIE ELLSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
144 FOREST HILL RD STE 144&146, LEXINGTON, NC 27295-2008
(336) 893-2550
Mailing address
PO BOX 601791, CHARLOTTE, NC 28260-1791
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P20467
NC
225100000X
Physical Therapist
PT019074
OH
Other
Enumeration date
02/17/2021
Last updated
06/16/2021
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