Individual
ALIECE ELLISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1841 E UPRIVER DR, SPOKANE, WA 99207-5164
(509) 489-4466
Mailing address
5317 S PALOUSE HWY APT E235, SPOKANE, WA 99223-7802
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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