MS. Susan Anne Ellis, ATC, LAT, EMT
NPI #1578520292 in Winter Springs, Florida
Provider Information
- NPI Number
- 1578520292
- Entity Type
- Individual
- Name
- MS. Susan Anne Ellis, ATC, LAT, EMT
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT, EMT
- Enumeration Date
- Apr 27, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 130 TUSKAWILLA RD
- City
- Winter Springs
- State
- Florida
- ZIP Code
- 32708-2831
- Phone
- (407) 320-8749
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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