Individual
ROSS JAMES EBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8840 CYPRESS WATERS BLVD STE 300, COPPELL, TX 75019-4630
(866) 871-8519
Mailing address
1134 W QUEENS WAY, NEKOOSA, WI 54457-9281
(715) 572-2589
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2706
WI
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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