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NPI Profile for BROOKE J ELLIS in ENFIELD, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI # | 1871253286 |
|
| Status | Active | |
| Credentials | OTD, OTR/L | |
| Entity | Individual | |
| Enumeration date | 12/27/2021 | |
| Last updated | 11/02/2024 - More than a year ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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BROOKE J ELLIS
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BROOKE J ELLIS, OTD, OTR/L