CORY ELLIS

BREWER, ME
NPI1538452255
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ME  PA3258)
Enumeration Date2011-05-27
Last Update Date2011-05-27
Business Address
Mr. CORY ELLIS PTA
248 STATE STREET
BREWER, ME 04412
Phone number: 207-989-2034
Mailing Address
Mr. CORY ELLIS PTA
248 STATE ST
BREWER, ME 04412-1519
Phone number: 207-989-2034
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