NPI 1003431867

Jennifer Anne Ellis, PTDPT

Practitioner Physical Therapist Philadelphia, PA

Practice location

Address: 1923 Bainbridge St, Philadelphia, PA 19146-1430
Phone: (215) 469-1832

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT021920 (PA)

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Registry record

NPI: 1003431867
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jun 2020
Record last updated: 8 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.