Individual provider · Type 1 NPI

Ellen Tighe Ventola, MS, PT, OCS

Specialist · Revere, MA

NPI number 1053430587 Active

Practice location

300 Ocean Ave
Revere, MA 02151-3675

Mailing address

1 Merrimack River Rd
Groveland, MA 01834-1424

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X6447 (MA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1053430587

Ellen Tighe Ventola, MS, PT, OCS's National Provider Identifier is 1053430587, issued on Mar 28, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Revere, MA. The record was last updated on Jul 8, 2007.