Lillian Elise Ellison

NPI #1003449984 in Winchester, Ohio

Provider Information

NPI Number: 1003449984
Entity Type: Individual
Name: Lillian Elise Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Feb 19, 2020
Last Updated: Feb 19, 2020

Practice Location

Address: 19189 OH STATE ROUTE 136
City: Winchester
State: Ohio
ZIP Code: 45697
Phone: (937) 695-0839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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