BRADLEY WADE ELLIS

GAINESVILLE, FL
NPI1639215031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA19813)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
Mr. BRADLEY WADE ELLIS
4820 NEWBERRY ROAD
GAINESVILLE, FL 32607
Phone number: 352-373-2116
Mailing Address
Mr. BRADLEY WADE ELLIS
19293 NW 230TH ST
HIGH SPRINGS, FL 32643
Phone number: 352-328-6427
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