Individual
CYNTHIA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
110 FAIRFAX RD, SAINT ALBANS, VT 05478-6299
(802) 752-1600
Mailing address
76 KIRK AND FITTS RD, ALBURGH, VT 05440-4412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0410069437
VT
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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