Individual
AARON L ELLENTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4988 N UNIVERSITY DR, LAUDERHILL, FL 33351-5748
(954) 746-7230
(954) 746-7350
Mailing address
1110 SHAWNEE RD, LIMA, OH 45805-3529
(419) 221-6723
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA28807
FL
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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