Provider Demographics
NPI:1316010713
Name:CRELLIN, ELAINE ROY (PT)
Entity Type:Individual
Prefix:MRS
First Name:ELAINE
Middle Name:ROY
Last Name:CRELLIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:328 COWESETT AVE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-2248
Mailing Address - Country:US
Mailing Address - Phone:401-823-8856
Mailing Address - Fax:401-826-8234
Practice Address - Street 1:328 COWESETT AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-2248
Practice Address - Country:US
Practice Address - Phone:401-823-8856
Practice Address - Fax:401-826-8234
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist