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:
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