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1285199620
DANIELLE MY TRANG ELLIS
ANAHEIM, CA
NPI
1285199620
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Additional Taxonomies
225100000X Physical Therapist
(Licence: CA 296308)
Enumeration Date
2019-02-08
Last Update Date
2022-04-06
Business Address
DANIELLE MY TRANG ELLIS
1360 S ANAHEIM BLVD STE 150
ANAHEIM, CA 92805-6205
Phone number: 714-776-1231
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Mailing Address
DANIELLE MY TRANG ELLIS
26302 LA PAZ RD STE 105
MISSION VIEJO, CA 92691-5327
Phone number:
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