Lora Nicole Ellis, P.T.
NPI #1376865626 in Byram, Mississippi
Provider Information
- NPI Number
- 1376865626
- Entity Type
- Individual
- Name
- Lora Nicole Ellis, P.T.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- P.T.
- Enumeration Date
- Feb 26, 2010
- Last Updated
- Feb 6, 2012
Practice Location
- Address
- 7381 S SIWELL RD
- Address 2
- STE A
- City
- Byram
- State
- Mississippi
- ZIP Code
- 39272-8741
- Phone
- (601) 373-2075
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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