Individual
BRIANA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 272-3380
Mailing address
1845 HILLSIDE DR, CATO, WI 54230-8450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13249-24
WI
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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