Doctor Name: | MARCI DILL ELLENDER |
NPI Number: | 1447564331 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 07832 |
Business Practice Address: | 124 J Bar Seven Ranch Rd Raceland, LA - 703942047 |
Business Phone Number: | 9856370964 |
Business Fax Number: | |
Mailing Address: | 270 Sugarwood Blvd, HOUMA |
State: | LA |
Postal Code: | 703608351 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 02/27/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 07832 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |