Christopher Ellis
Physical Therapist in Charleston, SC. Individual provider (NPI-1).
NPI number1962284232
StatusActive
Last updated in NPPESOct 19, 2023
Details
- NPI
- 1962284232
- Entity type
- Individual (NPI-1)
- Name
- Christopher Ellis
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 19, 2023
- Certification date
- Oct 19, 2023
- Last updated
- Oct 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
848 Folly RdCharleston, SC 29412-3435
Phone 423-797-1902
Mailing address
848 Folly RdCharleston, SC 29412-3435
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