Carol Ellis, PTA

NPI #1649735515 in Bridgewater, South Dakota

Provider Information

NPI Number: 1649735515
Entity Type: Individual
Name: Carol Ellis, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Feb 5, 2019
Last Updated: Feb 5, 2019

Practice Location

Address: 901 N MAIN AVE
City: Bridgewater
State: South Dakota
ZIP Code: 57319-2004
Phone: (605) 421-8549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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