Individual
MRS. ELLA MANTIPLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
15543 N REEMS RD STE 133, SURPRISE, AZ 85374
(623) 975-5374
Mailing address
15410 S MOUNTAIN PKWY STE 112, PHOENIX, AZ 85044-6691
(480) 706-1161
(480) 706-7997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13738
AZ
225100000X
Physical Therapist
2305210325
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305210325
STATE OF VIRGINIA
VA
Enumeration date
06/14/2016
Last updated
05/21/2018
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