Individual
KIM ELLMAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
320 CENTER ST, UNIT D, CHARDON, OH 44024-1165
(440) 286-1688
(440) 286-5489
Mailing address
23825 COMMERCE PARK, STE B, BEACHWOOD, OH 44122-5837
(216) 292-6363
(216) 292-6306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT05361
OH
Other
Enumeration date
05/10/2006
Last updated
07/08/2007
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