Individual
ELLEN DEFOSSEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380 BUTTERFLY GARDENS DR, COLUMBUS, OH 43215-7508
(330) 608-6598
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
M.2400418-TRNE
OH
Other
Enumeration date
09/11/2025
Last updated
10/24/2025
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