Individual
MRS. MOLSIE RUTH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTMS
Contact information
Practice address
6 CHESTER CV, CONWAY, AR 72034-7220
(501) 257-6408
Mailing address
6 CHESTER CV, CONWAY, AR 72034-7220
(501) 257-6408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT339
AR
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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