License holder summary

THEODORE R ELLIS is a Direct Access Authorization - Physical Therapy licensed to practice in Pennsylvania. The address on file for THEODORE R ELLIS is BRYN MAWR PA 19010. This licensed professional license is current. The license was granted 10/28/2004 and expired on 12/31/2016.

Pennsylvania

Department of State

THEODORE R ELLIS
Direct Access Authorization - Physical Therapy
License number
DAPT000343
Date granted
10/28/2004
Date expires
12/31/2016
Class
Direct Access Authorization - Physical Therapy
Status
Active
Address
BRYN MAWR PA 19010
palicensing.org
ID 17274939
LAST UPDATED 2024-04-29 13:28:50 UTC

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