Ellen Tighe Ventola, MS,PT,OCS

NPI #1053430587 in Revere, Massachusetts

Provider Information

NPI Number: 1053430587
Entity Type: Individual
Name: Ellen Tighe Ventola, MS,PT,OCS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: MS,PT,OCS
Enumeration Date: Mar 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 300 OCEAN AVE
City: Revere
State: Massachusetts
ZIP Code: 02151-3675
Phone: (781) 485-6222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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