Individual
ELIZABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S 3RD ST, ENID, OK 73701-5737
(719) 482-6087
Mailing address
617 CHISHOLM CRK, ENID, OK 73701-6565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5445
OK
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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