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Individual

ELLIN TODD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CMT

Contact information

Practice address
3025 LEE HILL DR, BOULDER, CO 80302-9461
(303) 447-3180
Mailing address
3025 LEE HILL DR, BOULDER, CO 80302-9461
(303) 447-3180

Taxonomy

Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
ELLINTODD369
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ELLINTODD
AARP
CO
Enumeration date
12/22/2011
Last updated
12/22/2011
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