Ely Pastoral, PT

NPI #1104350321 in Anaheim, California

Provider Information

NPI Number: 1104350321
Entity Type: Individual
Name: Ely Pastoral, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Apr 13, 2017
Last Updated: Apr 13, 2017

Practice Location

Address: 361 N BELLAROSE WAY
City: Anaheim
State: California
ZIP Code: 92805-3347
Phone: (646) 247-9699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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