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FLORA THERESA ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
780 DICKINSON RD, CHESTERTON, IN 46304-3551
(219) 921-2200
Mailing address
451 LORRAINE DR, VALPARAISO, IN 46385-2921

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008824A
IN

Other

Enumeration date
05/04/2007
Last updated
05/28/2014
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