Ellis, Sally

Ellis, Sally is an sole proprietor health care provider with primary practice located at 486 Worcester St Kennedy Donovan Center, Southbridge MA 01550-1386. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Ellis, Sally can be contacted via phone (508) 765-0292.

Contact Information

Primary practice address
486 Worcester St Kennedy Donovan Center Southbridge MA 01550-1386
Phone: (508) 765-0292
Fax: (508) 765-0294
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1134654536
LBN Legal business name Ellis, Sally
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2017
Last updated Apr 24th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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