Individual
DR. ROBERT RAY ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
PT5070
MS
225100000X
Physical Therapist
Primary
PT5070
MS
Other
Enumeration date
09/21/2012
Last updated
12/15/2023
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