IndividualActive
Aaron Ellentuck, PTA
NPI 1194200915 · Physical Medicine & Rehabilitation Physician · Lauderhill, FL
Provider details
- NPI number
- 1194200915
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- PTA28807 (FL)
Practice location
4988 N University Dr
Lauderhill, FL 33351-5748
Phone: (954) 746-7230
Fax: (954) 746-7350
Mailing address
1110 Shawnee Rd
Lima, OH 45805-3529
Registry dates
- Enumerated
- 2018-09-27
- Last updated
- 2018-09-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.