Individual
KAREN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4706 OLEANDER DR, WILMINGTON, NC 28403-5107
(910) 392-3770
Mailing address
109 E BANK RD, WILMINGTON, NC 28412-3501
(910) 352-4898
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8245
NC
Other
Enumeration date
04/26/2011
Last updated
04/26/2011
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