ISRAEL ELLERBROCK

OLYMPIA, WA
NPI1558194423
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  p160835239)
Enumeration Date2024-08-24
Last Update Date2024-08-24
Business Address
ISRAEL ELLERBROCK PTA
615 LILLY RD NE STE 240
OLYMPIA, WA 98506-5117
Phone number: 360-413-3850
Mailing Address
ISRAEL ELLERBROCK PTA
2314 COOPER CREST ST NW
OLYMPIA, WA 98502-4032
Phone number: 831-207-0828
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