Individual
MR. CHRISTOPHER JOHN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
21000 NE 28TH AVE, STE 104, AVENTURA, FL 33180-1421
(716) 870-0728
Mailing address
21000 NE 28TH AVE, STE 104, AVENTURA, FL 33180-1421
(716) 870-0728
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2187
NV
225100000X
Physical Therapist
Primary
PT24154
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649450388
—
NV
Enumeration date
11/09/2007
Last updated
08/06/2021
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