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Individual

AMANDA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
815 TUCKER RD STE C, TEHACHAPI, CA 93561-2513
(661) 377-1700
(661) 616-9199
Mailing address
3400 CALLOWAY DR STE 603, BAKERSFIELD, CA 93312-2514
(661) 377-1700
(661) 616-9199

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42454
CA

Other

Enumeration date
06/09/2015
Last updated
07/07/2021
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