Individual
ANNETTE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5462 TRADE WIND DR, WINDSOR, CO 80528-7508
(970) 999-5404
Mailing address
5462 TRADE WIND DR, WINDSOR, CO 80528-7508
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
03/01/2016
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