MR. Bruce P. Sebastien Ellison, PT

NPI #1114621604 in Bay Shore, New York

Provider Information

NPI Number: 1114621604
Entity Type: Individual
Name: MR. Bruce P. Sebastien Ellison, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 28, 2023
Last Updated: Mar 28, 2023

Practice Location

Address: 1823 5TH AVE
City: Bay Shore
State: New York
ZIP Code: 11706-1721
Phone: (631) 291-9975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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