Ellen E. Bannon-Dorn, PTA
NPI #1164615415 in Bluffton, South Carolina
Provider Information
- NPI Number
- 1164615415
- Entity Type
- Individual
- Name
- Ellen E. Bannon-Dorn, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Aug 21, 2007
- Last Updated
- Aug 21, 2007
Practice Location
- Address
- 800 FORDING ISLAND RD
- City
- Bluffton
- State
- South Carolina
- ZIP Code
- 29910-4845
- Phone
- (843) 815-2555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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