Nicole Ellis, DPT Valid NPI
Individual provider · Specialist · Norfolk, VA
- NPI
- 1922231893
- Type
- Individual (Type 1)
- Primary specialty
- Specialist
- Specialty group
- Other Service Providers
- Taxonomy code
- 174400000X
- License number
- 2305205979 (VA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-08-26
- Last updated
- 2009-08-26
Practice location
7419 Granby St
Norfolk, VA 23505-3406
(757) 489-5820