Individual
BECKI JO ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5000 HOPYARD RD, PLEASANTON, CA 94588-3348
(503) 805-3893
Mailing address
PO BOX 271, WALNUT GROVE, CA 95690-0271
(503) 805-3893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10622
CA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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