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1396423711
MATTHEW CHRISTIAN ELLISON
MADISON, WI
NPI
1396423711
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 16319-24)
Enumeration Date
2023-07-06
Last Update Date
2023-07-06
Business Address
MATTHEW CHRISTIAN ELLISON DPT
4602 EASTPARK BLVD
MADISON, WI 53718-2002
Phone number: 608-440-6287
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Mailing Address
MATTHEW CHRISTIAN ELLISON DPT
1868 E WASHINGTON AVE APT 575
MADISON, WI 53704
Phone number: 845-453-4004
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