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1770732711
LISA ELLIS
WYNNE, AR
NPI
1770732711
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA2267)
Enumeration Date
2008-09-15
Last Update Date
2008-09-15
Business Address
-- LISA ELLIS PTA
707 ELDRIDGE AVE E
WYNNE, AR 72396-4032
Phone number: 870-208-8989
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Mailing Address
-- LISA ELLIS PTA
707 ELDRIDGE AVE E
WYNNE, AR 72396-4032
Phone number: 870-208-8989
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