Nicole Ellis, DPT

NPI #1922231893 in Norfolk, Virginia

Provider Information

NPI Number: 1922231893
Entity Type: Individual
Name: Nicole Ellis, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: DPT
Enumeration Date: Aug 26, 2009
Last Updated: Aug 26, 2009

Practice Location

Address: 7419 GRANBY ST
City: Norfolk
State: Virginia
ZIP Code: 23505-3406
Phone: (757) 489-5820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary
Physical Therapist	225100000X

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