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Organization
ELLIS HOUSE OF FITNESS & REHABILITATION CENTER
Active
Organization
ELLIS HOUSE OF FITNESS & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ELLIS (PHYSICAL THERAPY ASSISTANT)
(301) 877-8870
Entity
Organization
Contact information
Practice address
7470 OLD ALEXANDRIA FERRY RD, CLINTON, MD 20735-1861
(301) 877-8870
(301) 203-0618
Mailing address
7470 OLD ALEXANDRIA FERRY RD, CLINTON, MD 20735-1861
(301) 877-8870
(301) 203-0618
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
NULL
133NN1002X
Nutrition Education Nutritionist
—
—
174H00000X
Health Educator
—
NULL
174H00000X
Health Educator
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
NULL
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
—
—
302R00000X
Health Maintenance Organization
—
MD
Other
Enumeration date
09/09/2011
Last updated
11/14/2011
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