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1669240917
ADRIENNE ELYSE ELLIS
MONTGOMERY, AL
NPI
1669240917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA10190)
Enumeration Date
2023-12-15
Last Update Date
2023-12-15
Business Address
ADRIENNE ELYSE ELLIS PTA
2221 SAGEWOOD DR
MONTGOMERY, AL 36117-2428
Phone number: 334-507-4250
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Mailing Address
ADRIENNE ELYSE ELLIS PTA
2221 SAGEWOOD DR
MONTGOMERY, AL 36117-2428
Phone number: 334-507-4250
Copy
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