Individual
ELLAINE DUPUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3964 FLORIDA AVE, JAY, FL 32565-1104
(850) 741-6715
Mailing address
3964 FLORIDA AVE, JAY, FL 32565-1104
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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