Individual
TORI ELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17495 DUGDALE DR, SOUTH BEND, IN 46635-1545
(574) 247-7500
Mailing address
350 E 300 S, VALPARAISO, IN 46383-7837
(219) 246-7710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005904A
IN
Other
Enumeration date
06/08/2019
Last updated
10/23/2024
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