Individual
COLIN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1243 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6268
(610) 402-9712
Mailing address
1243 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6268
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
025444
PA
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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