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Individual

ELLEN MARIE MASSEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1101 9TH ST N, VIRGINIA, MN 55792-2329
(218) 741-0150
Mailing address
321 MURDOCK BLVD, TITUSVILLE, PA 16354-2051
(814) 758-2645

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10963
MN
225100000X
Physical Therapist
PT026331
PA

Other

Enumeration date
08/29/2017
Last updated
11/08/2017
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