Individual
LISA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
535 CENTERVILLE RD, SUITE 101, WARWICK, RI 02886-4376
(401) 737-6011
(401) 737-4811
Mailing address
535 CENTERVILLE RD, SUITE 101, WARWICK, RI 02886-4376
(401) 737-6011
(401) 737-4811
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11166
MA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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