Mr. Bradley Wade Ellis
Mr. Bradley Wade Ellis is a Physical Therapy Assistant in Gainesville, Florida. Licensed in Florida. Registered with an NPI since 2007.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
4820 Newberry RdGainesville, FL 32607
Phone: (352) 373-2116
Fax: (352) 373-1507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA19813 (FL) |
|---|
Record details
| NPI number | 1639215031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 30, 2007 |
| Last updated in NPPES | July 8, 2007 |
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