NPI 1134654536
Sally Ellis
Practice location
- Address
- 486 Worcester St Kennedy Donovan Center, Southbridge, MA 01550-1386
- Phone
- (508) 765-0292
- Fax
- (508) 765-0294
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1134654536
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Apr 2017
- Record last updated
- 24 Apr 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.