Sally Ellis

NPI #1134654536 in Southbridge, Massachusetts

Provider Information

NPI Number: 1134654536
Entity Type: Individual
Name: Sally Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: Apr 24, 2017
Last Updated: Apr 24, 2017

Practice Location

Address: 486 WORCESTER ST
Address 2: KENNEDY DONOVAN CENTER
City: Southbridge
State: Massachusetts
ZIP Code: 01550-1386
Phone: (508) 765-0292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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