Individual provider · Type 1 NPI
Anthony Jerome Ellis, C.P.
Prosthetics Case Management · Upland, CA
NPI number
1124311162
Active
Practice location
923 W Foothill Blvd
Upland, CA 91786-3729
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthetics Case Management Primary | 1744P3200X | None listed |
Prosthetics Case Management: A case manager who provides services for patients with prosthetics.
Another provider at this address
About NPI 1124311162
Anthony Jerome Ellis, C.P.'s National Provider Identifier is 1124311162, issued on May 24, 2011. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Upland, CA. The record was last updated on May 24, 2011.