Individual
ELLORA MAGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, OCS
Contact information
Practice address
13949 MONO WAY, SONORA, CA 95370-2807
(209) 533-5371
Mailing address
PO BOX 4143, SONORA, CA 95370-4143
(209) 532-1288
(209) 230-9529
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211605
VA
2251X0800X
Orthopedic Physical Therapist
Primary
35312
CA
Other
Enumeration date
02/26/2009
Last updated
01/22/2020
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