GREGORY ELLIS ANDES

GALLOWAY, OH
NPI1619637808
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  PTA011019)
Enumeration Date2021-12-29
Last Update Date2021-12-29
Business Address
MR. GREGORY ELLIS ANDES
814 WINDY HILL LN
GALLOWAY, OH 43119-8533
Phone number: 567-204-9564
Mailing Address
MR. GREGORY ELLIS ANDES
814 WINDY HILL LN
GALLOWAY, OH 43119-8533
Phone number: 567-204-9564
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