ELLIS ODA

RIVERSIDE, CA
NPI1063145399
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  302036)
Enumeration Date2022-07-05
Last Update Date2022-07-05
Business Address
ELLIS ODA DPT
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507-0728
Phone number: 951-653-4480
Mailing Address
ELLIS ODA DPT
6177 RIVER CREST DR STE A
RIVERSIDE, CA 92507-0728
Phone number: 951-653-4480
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