Individual
ELLEN LOUISE BLEIDORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1474 TANYARD RD, SEWELL, NJ 08080-0805
(856) 278-7829
Mailing address
45 E COOPER AVE, MOORESTOWN, NJ 08057-2871
(856) 278-7829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00452400
NJ
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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