Individual
ELLEN MARIE TYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
70 BATES RD, ABBOT, ME 04406-3402
(860) 227-1361
Mailing address
70 BATES RD, ABBOT, ME 04406-3402
(860) 227-1361
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14.002421
CT
225100000X
Physical Therapist
Primary
PT4431
ME
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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