NPI 1336306190

Ella Doran, PT

Practitioner Contractor Suffolk, VA

Practice location

Address: 200 W Constance Rd, Suffolk, VA 23434-4413
Phone: (757) 539-8744
Mailing address: 501 Sawgrass Ln, Portsmouth, VA 23703-2289

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 2305002005 (VA)

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Registry record

NPI: 1336306190
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 May 2008
Record last updated: 20 May 2008

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.