Individual
CHRISTOPHER L ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
890 SHASTA AVE, MORRO BAY, CA 93442-1933
(805) 772-4325
(805) 772-2886
Mailing address
1106 WALNUT ST, SUITE 110, SAN LUIS OBISPO, CA 93401-2416
(805) 788-0805
(805) 788-0845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT33463
CA
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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