Ellen Deborah Tragar
Physical Therapist Physical Therapist - Geriatrics
830 Chalkstone Ave
Providence
, Rhode Island 02908-4734
Ellen Deborah Tragar
Physical Therapist Physical Therapist - Geriatrics
830 Chalkstone Ave
Providence
, Rhode Island 02908-4734
(401) 272-1012
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Ellen Deborah Tragar
- 830 Chalkstone Ave
- Providence, RI
- Zip : 02908-4734
- Fax : (401) 272-1012
- Phone : (401) 273-7100
Second Address
- Ellen Deborah Tragar
- 830 Chalkstone Ave
- Providence, RI
- Zip : 02908-4734
- Fax : (401) 272-1012
- Phone : (401) 273-7100
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 592 | RI |
| N | 2251G0304X | Physical Therapist - Geriatrics | 592 | RI |
National Provider Identifier
| NPI | 1205164431 |
|---|---|
| Provider Name | Ellen Deborah Tragar |
| First Address | Providence, RI 02908-4734 |
| Second Address | Providence, RI 02908-4734 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/11/2009 |
| Last Update Date | 30/11/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.