Individual
DR. PETER MARK ANTHONY ELLISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
850 N MAIN STREET EXT # 3B, WALLINGFORD, CT 06492-2400
(203) 265-3790
(203) 265-2120
Mailing address
PO BOX 866308, PLANO, TX 75086-6308
(347) 310-8857
(717) 635-4785
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14200
CT
225100000X
Physical Therapist
Primary
—
NY
Other
Enumeration date
07/18/2022
Last updated
05/07/2026
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