Individual
DANIELLE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N LAKE DR, LEXINGTON, SC 29072-2903
(877) 407-3422
Mailing address
7 CARNEGIE PLZ, CHERRY HILL, NJ 08003-1000
(877) 407-3422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10684
SC
Other
Enumeration date
07/13/2021
Last updated
06/23/2023
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