Ted Ellquist, Pt
NPI #1053422485 in Santa Rosa, California
Provider Information
- NPI Number
- 1053422485
- Entity Type
- Organization
- Organization Name
- Ted Ellquist, Pt
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Sep 20, 2010
Practice Location
- Address
- 2466 MURDOCK DR
- City
- Santa Rosa
- State
- California
- ZIP Code
- 95404-2207
- Phone
- (503) 358-8278
Authorized Official
- Name
- TED IAN ELLQUIST, P.T.
- Title
- STAFF PT
- Phone
- (503) 358-8278
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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