AUTUMN ELLIS

VENICE, FL
NPI1659930147
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  Pending)
Enumeration Date2019-06-10
Last Update Date2021-02-16
Business Address
AUTUMN ELLIS DPT
834 PINEBROOK RD
VENICE, FL 34285-7123
Phone number: 941-484-8107
Mailing Address
AUTUMN ELLIS DPT
834 PINEBROOK RD
VENICE, FL 34285-7123
Phone number: 941-484-8107
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