Ellis, Bradley Wade

Ellis, Bradley Wade is an individual health care provider with primary practice located at 4820 Newberry Road , Gainesville FL 32607. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Ellis, Bradley Wade can be contacted via phone (352) 373-2116.

Contact Information

Primary practice address
4820 Newberry Road Gainesville FL 32607
Phone: (352) 373-2116
Fax: (352) 373-1507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA19813 Florida

Profile Details

NPI number 1639215031
LBN Legal business name Ellis, Bradley Wade
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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