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1134165343
CHARLES MICHAEL ELLIS
MONTGOMERY, AL
NPI
1134165343
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH1388)
Enumeration Date
2006-06-22
Last Update Date
2022-01-04
Business Address
CHARLES MICHAEL ELLIS P.T., ATC
2000 BERRY CHASE PL
MONTGOMERY, AL 36117-6896
Phone number: 334-356-6453
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Mailing Address
CHARLES MICHAEL ELLIS P.T., ATC
7449 EASTCHASE PKWY STE 200
MONTGOMERY, AL 36117-6846
Phone number: 334-747-4030
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