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1033314893
AMY ELLISON
CHARLESTON, WV
NPI
1033314893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 002632)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
-- AMY ELLISON PT
1000 ASSOCIATION DR
CHARLESTON, WV 25311-1270
Phone number: 304-347-4372
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Mailing Address
-- AMY ELLISON PT
306 LIVERPOOL RD
REEDY, WV 25270-9576
Phone number: 304-927-2618
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