Individual
BROOKE JULIETTE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
113 ELM ST, ENFIELD, CT 06082-3700
(860) 253-5196
Mailing address
8 OAKWOOD ST, ENFIELD, CT 06082-2717
(860) 593-2364
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
14292
MA
225XH1200X
Hand Occupational Therapist
Primary
5940
CT
Other
Enumeration date
12/27/2021
Last updated
11/02/2024
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