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Individual

MS. ELIZABETH ELLIS DEMILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPT

Contact information

Practice address
70 BUTLER STREET, SALEM, NH 03079
(603) 893-2900
(603) 893-1628
Mailing address
70 BUTLER STREET, SALEM, NH 03079
(603) 893-2900
(603) 893-1628

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5435
MA
225100000X
Physical Therapist
Primary
718
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9714791
MA
Enumeration date
05/20/2009
Last updated
10/28/2015
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