Lacey Loral Ellis, PT, DPT

NPI #1639510282 in Pelham, Alabama

Provider Information

NPI Number
1639510282
Entity Type
Individual
Name
Lacey Loral Ellis, PT, DPT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist - Pediatrics
Credential
PT, DPT
Enumeration Date
Jul 11, 2013
Last Updated
Dec 5, 2013

Practice Location

Address
2685 PELHAM PKWY
Address 2
SUITE C
City
Pelham
State
Alabama
ZIP Code
35124-1354
Phone
(205) 621-6503

Specialties & Taxonomy Codes

Specialty
Physical Therapist - PediatricsPediatrics

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