KELLY WYNELL ELLIS

TOLEDO, OH
NPI1205455789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: OH  PTA007644)
Enumeration Date2020-04-14
Last Update Date2020-04-14
Business Address
Mr. KELLY WYNELL ELLIS PTA
5502 SAN JUAN DR
TOLEDO, OH 43612-3336
Phone number: 419-410-7741
Mailing Address
Mr. KELLY WYNELL ELLIS PTA
5502 SAN JUAN DR
TOLEDO, OH 43612-3336
Phone number: 419-410-7741
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