Individual
ELLIS SMILEY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
202 HILLTOP TER, MONTGOMERY, AL 36109-2806
(334) 531-7348
Mailing address
202 HILLTOP TER, MONTGOMERY, AL 36109-2806
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6894
AL
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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