MR. Cory Ellis, PTA

NPI #1538452255 in Brewer, Maine

Provider Information

NPI Number: 1538452255
Entity Type: Individual
Name: MR. Cory Ellis, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 27, 2011
Last Updated: May 27, 2011

Practice Location

Address: 248 STATE STREET
City: Brewer
State: Maine
ZIP Code: 04412
Phone: (207) 989-2034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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