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Organization

ELLIS PHYSICAL THERAPY ASSOCIATES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CYNTHIA A ELLIS PT (PRESIDENT)
(803) 783-0684
Entity
Organization

Contact information

Practice address
3937 SUNSET BLVD, SUITE A, WEST COLUMBIA, SC 29169
(803) 794-2213
(803) 791-5284
Mailing address
PO BOX 11400, COLUMBIA, SC 29211-1400
(803) 783-0684
(803) 783-1147

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
285
SC

Other

Enumeration date
12/21/2006
Last updated
05/27/2021
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