Individual
MR. ERIC MATTHEW ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
45 LYME RD, SUITE 303, HANOVER, NH 03755-1219
(802) 345-8644
Mailing address
45 LYME ROAD, SUITE 303, HANOVER, NH 03755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3134
NH
2251X0800X
Orthopedic Physical Therapist
Primary
NH3134
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012982
—
VT
05
—
30394617
—
NH
Enumeration date
10/19/2006
Last updated
02/01/2024
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