Ellison, Wanda Gayle
Ellison, Wanda Gayle is an individual health care provider with primary practice located at 681 Beville Rd , South Daytona FL 32119-1951. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Ellison, Wanda Gayle can be contacted via phone (800) 330-7711.Contact Information
Primary practice address
681 Beville Rd
South Daytona FL 32119-1951
Phone: (800) 330-7711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA479 |
Profile Details
| NPI number | 1467640474 |
|---|---|
| LBN Legal business name | Ellison, Wanda Gayle |
| Credentials | LPTA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Oct 4th, 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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