Individual
CODY ELLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1422 TAYLOR DR, NAPOLEON, OH 43545-1141
(419) 822-6684
Mailing address
1422 TAYLOR DR, NAPOLEON, OH 43545-1141
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA008257
OH
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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