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1912594144
NICOLE ELLIS
BLOOMFIELD, NJ
NPI
1912594144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40QA01974800)
Enumeration Date
2020-12-22
Last Update Date
2020-12-22
Business Address
NICOLE ELLIS PT, DPT
1255 BROAD ST STE 207
BLOOMFIELD, NJ 07003-3061
Phone number: 973-893-9300
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Mailing Address
NICOLE ELLIS PT, DPT
1377 MOTOR PKWY STE 307
ISLANDIA, NY 11749-5258
Phone number: 631-580-5200
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