Doctor Name: | MR. ERIC MATTHEW ELLINGSON |
NPI Number: | 1174605513 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 3134 |
Business Practice Address: | 45 Lyme Rd Suite 303 Hanover, NH - 037551219 |
Business Phone Number: | 8023458644 |
Business Fax Number: | |
Mailing Address: | 45 Lyme Road, Suite 303 HANOVER |
State: | NH |
Postal Code: | 03755 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/19/2006 |
NPI Last Update Date: | 06/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3134 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
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 |