Autumn Ellis, DPT

NPI #1659930147 in Venice, Florida

Provider Information

NPI Number: 1659930147
Entity Type: Individual
Name: Autumn Ellis, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Jun 10, 2019
Last Updated: Feb 16, 2021

Practice Location

Address: 834 PINEBROOK RD
City: Venice
State: Florida
ZIP Code: 34285-7123
Phone: (941) 484-8107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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