Individual
MRS. ELIZABETH VIOLETTE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
45 MERIDEN AVE, SOUTHINGTON, CT 06489-3214
(860) 378-1234
(866) 378-1160
Mailing address
45 MERIDEN AVE, SOUTHINGTON, CT 06489-3214
(860) 378-1234
(866) 378-1160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006472
CT
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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