Individual
RYAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
Mailing address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
Taxonomy
Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary
—
PA
Other
Enumeration date
08/05/2020
Last updated
10/09/2024
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