Individual
ELLEN DEBORAH TRAGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 272-1012
Mailing address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
(401) 272-1012
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
592
RI
2251G0304X
Geriatric Physical Therapist
592
RI
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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