Individual
MRS. ELENA THERESA IPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9750 CONNECTICUT ST, BONITA SPRINGS, FL 34135-4635
(239) 390-3978
(239) 206-4634
Mailing address
9750 CONNECTICUT ST, BONITA SPRINGS, FL 34135-4635
(239) 390-3978
(239) 206-4634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT16572
FL
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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