JAMES RYAN ELLIS

WIGGINS, MS
NPI1801387428
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA6404)
Enumeration Date2018-05-21
Last Update Date2018-05-21
Business Address
Mr. JAMES RYAN ELLIS PTA
321 FLORA GENE AVE W STE D
WIGGINS, MS 39577-5010
Phone number: 601-523-1994
Mailing Address
Mr. JAMES RYAN ELLIS PTA
321 FLORA GENE AVE W STE D
WIGGINS, MS 39577-5010
Phone number: 601-523-1994
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