Individual
MRS. KOURTNEY KOBER ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
4080 NELSON RD, SUITE 500, LAKE CHARLES, LA 70605-2439
(337) 494-7546
(337) 494-7548
Mailing address
4080 NELSON RD, SUITE 500, LAKE CHARLES, LA 70605-2439
(337) 494-7546
(337) 494-7548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
09341
LA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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