NPI 1528588571

Ebony Elbert, CTRS

Practitioner Recreation Therapist Kennesaw, GA

Practice location

Address: 1291 Stanley Rd NW, Kennesaw, GA 30152-4359
Phone: (770) 427-0147

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 64872 (GA)

Other Recreation Therapist providers in Georgia →

Registry record

NPI: 1528588571
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2017
Record last updated: 21 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.