TERRY ELLIS

BLOOMER, WI
NPI1881813814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  562-019)
Enumeration Date2007-04-25
Last Update Date2007-07-08
Business Address
-- TERRY ELLIS
1402 MAIN ST
BLOOMER, WI 54724-1637
Phone number: 715-568-4669
Mailing Address
-- TERRY ELLIS
11188 16TH AVE
CHIPPEWA FALLS, WI 54729-6505
Phone number: 715-832-5519
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