Individual
ABIGAIL CLAIRE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2885
Mailing address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10387432-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
312816
ALLEGRA
—
Enumeration date
11/06/2017
Last updated
12/03/2021
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