Individual
OLIVIA ELLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 CONNER ST, NOBLESVILLE, IN 46060-3141
(317) 779-1250
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
99119441A
IN
Other
Enumeration date
07/05/2023
Last updated
07/05/2023
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