MR. Theodore R. Ellis, P.T.

NPI #1275616880 in Wayne, Pennsylvania

Provider Information

NPI Number: 1275616880
Entity Type: Individual
Name: MR. Theodore R. Ellis, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 24, 2006
Last Updated: Jun 30, 2010

Practice Location

Address: 150 STRAFFORD AVE
Address 2: SUITE 230
City: Wayne
State: Pennsylvania
ZIP Code: 19087-3114
Phone: (610) 971-6969

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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