NPI 1538452255

Cory Ellis, PTA

Practitioner Physical Therapy Assistant Brewer, ME

Practice location

Address: 248 State Street, Brewer, ME 04412
Phone: (207) 989-2034
Fax: (207) 989-5971
Mailing address: 248 State St, Brewer, ME 04412-1519

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PA3258 (ME)

Other Physical Therapy Assistant providers in Maine →

Registry record

NPI: 1538452255
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 May 2011
Record last updated: 27 May 2011

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.