Nicole Ellis, PT, DPT
NPI #1912594144 in Bloomfield, New Jersey
Provider Information
- NPI Number
- 1912594144
- Entity Type
- Individual
- Name
- Nicole Ellis, PT, DPT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT, DPT
- Enumeration Date
- Dec 22, 2020
- Last Updated
- Dec 22, 2020
Practice Location
- Address
- 1255 BROAD ST STE 207
- City
- Bloomfield
- State
- New Jersey
- ZIP Code
- 07003-3061
- Phone
- (973) 893-9300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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