Individual
ELLEN CANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5445 EVERGLADES ST, VENTURA, CA 93003-6523
(805) 642-1736
Mailing address
5333 GILLESPIE ST, VENTURA, CA 93003-0231
(805) 512-1166
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
30353
CA
Other
Enumeration date
12/28/2018
Last updated
12/28/2018
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