Corey Ellis, PTA
Physical Therapy Assistant in Charlottesville, VA. Individual provider (NPI-1).
NPI number1740648963
StatusActive
Last updated in NPPESFeb 2, 2016
Details
- NPI
- 1740648963
- Entity type
- Individual (NPI-1)
- Name
- Corey Ellis
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2016
- Last updated
- Feb 2, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | 2306604241 | VA | Yes |
Practice location
4620 Briarwood DrCharlottesville, VA 22911-8359
Phone 434-825-0305
Mailing address
4620 Briarwood DrCharlottesville, VA 22911-8359
Phone 434-825-0305
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Other Physical Therapy Assistant providers in Charlottesville, VA
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All 15 Physical Therapy Assistant providers in Charlottesville · All 7,958 providers in Charlottesville
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