Provider Demographics
NPI:1750564308
Name:CHELLA, ELLEN KANTROVITZ
Entity type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:KANTROVITZ
Last Name:CHELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 HEATHER WAY
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-3215
Mailing Address - Country:US
Mailing Address - Phone:781-793-0738
Mailing Address - Fax:
Practice Address - Street 1:9 HEATHER WAY
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-3215
Practice Address - Country:US
Practice Address - Phone:781-793-0738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist