| NPI | 1245411701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M ELLIS Physical Therapist/ Owner 304-855-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 002118) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2008-07-24 |