Individual
CARRIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
14830 LOS GATOS BLVD STE 101, LOS GATOS, CA 95032-2053
(408) 395-7300
Mailing address
14830 LOS GATOS BLVD STE 101, LOS GATOS, CA 95032-2053
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 37965
CA
Other
Enumeration date
06/05/2013
Last updated
06/05/2013
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