CAROL ELLIS

BRIDGEWATER, SD
NPI1649735515
Former NameCAROL MCCLAIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SD  0078)
Enumeration Date2019-02-05
Last Update Date2019-02-05
Business Address
CAROL ELLIS PTA
901 N MAIN AVE
BRIDGEWATER, SD 57319-2004
Phone number: 605-421-8549
Mailing Address
CAROL ELLIS PTA
804 MULBERRY ST
YANKTON, SD 57078-3623
Phone number: 605-660-6497