| Doctor Name: | LASHAWN ELAM |
| NPI Number: | 1205161551 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 22329 |
| Business Practice Address: | 502 Mcknight Dr Suite 103 Knightdale, NC - 275457050 |
| Business Phone Number: | 9192178885 |
| Business Fax Number: | |
| Mailing Address: | 16 Maybrook Rd, Suite C CAMPBELL HALL |
| State: | NY |
| Postal Code: | 109162743 |
| Phone Number: | 8456364344 |
| Fax Number: | 8456364355 |
| NPI Enumeration Date: | 10/05/2009 |
| NPI Last Update Date: | 07/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 22329 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |