Individual
ELLEN J DE ROSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
40 TURNPIKE RD, IPSWICH, MA 01938-1050
(978) 412-1234
(978) 412-9991
Mailing address
2 BRITTANY LN, ATKINSON, NH 03811-2250
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8554
MA
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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