Individual
MRS. ANGELA ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
1 JEFFERSON BARRACKS DR, BUILDING 53, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Mailing address
1 JEFFERSON BARRACKS DR, MAIL CODE: 117, SAINT LOUIS, MO 63125-4181
(314) 652-4100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
116824
MO
Other
Enumeration date
03/09/2012
Last updated
11/19/2025
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