Amanda Ellis
Amanda Ellis is a Physical Disabilities Residential Treatment Facility in San Tan Valley, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2015
Practice location Address checks out
381 E Brook StSan Tan Valley, AZ 85140
Phone: (480) 495-2839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Disabilities Residential Treatment Facility (primary) | Taxonomy 320700000X · Licence D05686544 (AZ) |
|---|
Record details
| NPI number | 1194198697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 5, 2015 |
| Last updated in NPPES | November 5, 2015 |