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Individual

BENJAMIN ELLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
420 FRANKLIN ST, RUMFORD, ME 04276-2104
(207) 369-1099
Mailing address
PO BOX 1732, BETHEL, ME 04217-1732
(207) 776-3694

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4037
ME

Other

Enumeration date
10/14/2014
Last updated
10/14/2014
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