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Individual

ELLEN RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA,PT

Contact information

Practice address
69 SAND PIT RD, SUITE 300, DANBURY, CT 06810-4004
(203) 748-2551
(203) 743-9587
Mailing address
69 SAND PIT RD, SUITE 300, DANBURY, CT 06810-4004
(203) 748-2551
(203) 743-9587

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
062349154
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
062349154
CT LICENSE
CT
Enumeration date
02/24/2012
Last updated
02/24/2012
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