Individual
MR. STEPHEN WINSTON ELLIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
40 S RIVER RD, BEDFORD PLACE - UNIT 58, BEDFORD, NH 03110-6719
(603) 626-4205
(603) 666-6617
Mailing address
40 S RIVER RD, UNIT 58, BEDFORD, NH 03110-6751
(603) 497-8175
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1118
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30392140
—
NH
Enumeration date
05/05/2006
Last updated
03/21/2016
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