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Individual
ANDREW ELLARD
Active
Individual
ANDREW ELLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09031R
LA
225100000X
Physical Therapist
Primary
PTH8128
AL
225X00000X
Occupational Therapist
OTT.200871
LA
Other
Enumeration date
09/08/2015
Last updated
07/21/2022
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