Individual
ERICA L ELLZEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
18623 112TH AVE SE, RENTON, WA 98055
(425) 518-6075
Mailing address
140 SW 146TH ST, BURIEN, WA 98166-1912
(206) 901-2300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60149858
WA
Other
Enumeration date
06/04/2010
Last updated
04/27/2021
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