Individual
MRS. CATHY ANN ELLINGWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1701 S CREASY LN, LAFAYETTE, IN 47905-4972
(765) 502-4000
Mailing address
8802 W 400 S, WAYNETOWN, IN 47990-8196
(765) 376-8534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06000850A
IN
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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