LISA ELLIS

WYNNE, AR
NPI1770732711
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA2267)
Enumeration Date2008-09-15
Last Update Date2008-09-15
Business Address
-- LISA ELLIS PTA
707 ELDRIDGE AVE E
WYNNE, AR 72396-4032
Phone number: 870-208-8989
Mailing Address
-- LISA ELLIS PTA
707 ELDRIDGE AVE E
WYNNE, AR 72396-4032
Phone number: 870-208-8989