Individual
ELLEN M WHEWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4 GREENTREE DR, WATERFORD, CT 06385-4116
(860) 442-0647
Mailing address
41 BUSH HILL DR, NIANTIC, CT 06357-1827
(860) 691-1760
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004299
CT
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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