Nicole Ellsworth
Nicole Ellsworth is a Developmental Therapist in Southbridge, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
486 Worcester St Kennedy Donovan CtrSouthbridge, MA 01550-1386
Phone: (508) 367-2338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1053860536 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 26, 2016 |
| Last updated in NPPES | September 26, 2016 |
| Mailing address | 486 Worcester St, Kennedy Donovan Center, Southbridge, MA 01550-1386 |
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