NICHOLAS ROBERT ELLIS

PHILADELPHIA, PA
NPI1639501356
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
Enumeration Date2013-08-05
Last Update Date2013-08-05
Business Address
-- NICHOLAS ROBERT ELLIS
2509 S 4TH ST
PHILADELPHIA, PA 19148-4712
Phone number: 215-271-1080
Mailing Address
-- NICHOLAS ROBERT ELLIS
2509 S 4TH ST
PHILADELPHIA, PA 19148-4712
Phone number: