SHANNON M ELLIS

BRASELTON, GA
NPI1568867430
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: GA  PTA002735)
Enumeration Date2014-11-04
Last Update Date2014-11-04
Business Address
Mrs. SHANNON M ELLIS PTA
5775 OLD WINDER HWY
BRASELTON, GA 30517-1603
Phone number: 678-866-4104
Mailing Address
Mrs. SHANNON M ELLIS PTA
3576 PHOENIX COVE DR
GAINESVILLE, GA 30506-4669
Phone number: 574-286-2559
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