Individual
DR. BRIAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1809 BRENNER AVE STE 102, SALISBURY, NC 28144-2567
(704) 637-6057
Mailing address
187 DAR LIND LANE, PALMYRA, NY 14522
(704) 315-7734
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
5432
SC
Other
Enumeration date
05/01/2007
Last updated
06/19/2008
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