Individual
ELLAGRACE BRUNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD,OTR/L
Contact information
Practice address
1111 ELM ST STE 304, WEST SPRINGFIELD, MA 01089-1782
(800) 778-7601
Mailing address
74 WEXFORD ST, SPRINGFIELD, MA 01118-2040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL36230
MA
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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