Individual
ASHLEE ELLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
554 TWIN CITIES BLVD, NICEVILLE, FL 32578-1066
(850) 729-3325
Mailing address
1527 PLANTATION CIR, BLACKSHEAR, GA 31516-6500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28935
FL
Other
Enumeration date
08/18/2014
Last updated
11/29/2018
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