Doctor Name: | MR. BRUCE NICHOLAS ELLIOTT |
NPI Number: | 1093825036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 007068 |
Business Practice Address: | 843 Bolton Rd U-1249 Storrs Mansfield, CT - 062699020 |
Business Phone Number: | 8604868080 |
Business Fax Number: | 8604868081 |
Mailing Address: | 281 Liberty Hwy, PUTNAM |
State: | CT |
Postal Code: | 062602720 |
Phone Number: | 8609282509 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 03/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 007068 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |