Individual
JOSHUA ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11977 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9312
(503) 486-6944
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/19/2022
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