LORA NICOLE ELLIS

BYRAM, MS
NPI1376865626
Former NameLORA NICOLE BASS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MS  PT4540)
Enumeration Date2010-02-26
Last Update Date2012-02-06
Business Address
-- LORA NICOLE ELLIS P.T.
7381 S SIWELL RD STE A
BYRAM, MS 39272-8741
Phone number: 601-373-2075
Mailing Address
-- LORA NICOLE ELLIS P.T.
7381 S SIWELL RD STE A
BYRAM, MS 39272-8741
Phone number: 601-373-2075