Individual
MR. BRUCE NICHOLAS ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
843 BOLTON RD, U-1249, STORRS MANSFIELD, CT 06269-9020
(860) 486-8080
(860) 486-8081
Mailing address
281 LIBERTY HWY, PUTNAM, CT 06260-2720
(860) 928-2509
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007068
CT
Other
Enumeration date
08/30/2006
Last updated
03/20/2009
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