ERIC DANIEL ELLIS

HAVERTOWN, PA
NPI1154741692
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT004288)
Enumeration Date2014-04-23
Last Update Date2014-04-23
Business Address
Mr. ERIC DANIEL ELLIS MS, LAT, ATC
414 BRYAN ST
HAVERTOWN, PA 19083-4311
Phone number: 484-680-6341
Mailing Address
Mr. ERIC DANIEL ELLIS MS, LAT, ATC
414 BRYAN ST
HAVERTOWN, PA 19083-4311
Phone number: 484-680-6341
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