Individual
AARON ELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128-8311
(800) 330-7711
Mailing address
332 WOODLAND DR, LOS OSOS, CA 93402-3610
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5329
CA
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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