Individual
JOSEPH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12809 LINCOLN AVE SW APT B13, LAKEWOOD, WA 98499-3255
(253) 365-4282
Mailing address
12809 LINCOLN AVE SW APT B13, LAKEWOOD, WA 98499-3255
(253) 365-4282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2069399
TX
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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