Individual
ANDREW ELLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
550 FIELDSTOWN RD, GARDENDALE, AL 35071-2590
(205) 508-2277
(225) 246-8730
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
09031R
LA
225100000X
Physical Therapist
Primary
PTH8128
AL
225X00000X
Occupational Therapist
OTT.200871
LA
Other
Enumeration date
09/08/2015
Last updated
07/21/2022
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