Individual
ELEANOR AMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, MTC, CLT
Contact information
Practice address
13203 OVERCUP OAK CT APT 302, HERNDON, VA 20171-4888
(860) 942-9978
(571) 388-3161
Mailing address
13203 OVERCUP OAK CT APT 302, HERNDON, VA 20171-4888
(860) 942-9978
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
12046
CT
225100000X
Physical Therapist
Primary
2305212626
VA
Other
Enumeration date
08/06/2015
Last updated
05/27/2022
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