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1619593712
ELLIS SMILEY
MONTGOMERY, AL
NPI
1619593712
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA6894)
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
ELLIS SMILEY LPTA
202 HILLTOP TER
MONTGOMERY, AL 36109-2806
Phone number: 334-531-7348
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Mailing Address
ELLIS SMILEY LPTA
202 HILLTOP TER
MONTGOMERY, AL 36109-2806
Phone number:
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