Individual
JILL MARIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3394 E JOLLY RD STE B, LANSING, MI 48910-8595
(517) 975-3520
Mailing address
1310 GEORGE ST, LANSING, MI 48910-1235
(517) 862-0800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000113
MI
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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