WANDA GAYLE ELLISON

SOUTH DAYTONA, FL
NPI1467640474
Former NameWANDA GAYLE ELLISON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence:   pta479)
Enumeration Date2007-10-04
Last Update Date2007-10-04
Business Address
-- WANDA GAYLE ELLISON Lpta
681 BEVILLE RD
SOUTH DAYTONA, FL 32119-1951
Phone number: 800-330-7711
Mailing Address
-- WANDA GAYLE ELLISON Lpta
681 BEVILLE RD
SOUTH DAYTONA, FL 32119-1951
Phone number: 800-330-7711
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