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Bonnie J Ellis
Orthotist in Bangor, Maine
NPI 1922871599

Bonnie J Ellis is a Orthotist based in Waterville, ME. Bonnie J Ellis practices in Bangor, ME. The NPI Number for Bonnie J Ellis is 1922871599 and holds a License No. (Maine).

The current practice location address for Bonnie J Ellis is 689 Hogan Rd, Bangor, ME and can be reached out via phone at 207-873-1131 and via fax at 207-872-6014.

Location: 689 Hogan Rd, Bangor, ME, 04901-6514
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922871599
Provider Name
Bonnie J Ellis
Credential
Provider Entity Type
Individual
Gender
Female
Address
689 Hogan Rd, Bangor, ME, 04901-6514
Phone Number
207-873-1131
Fax Number
207-872-6014
Provider Enumeration Date
11/06/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1669590147 05 ME
institution
Provider Business Practice Location Address Details
Address
689 Hogan Rd
City
Bangor
State
Maine
Zip
04401-3605
Phone Number
207-873-1131
Fax Number
207-872-6014
person
Provider Business Mailing Address Details
Address
689 Hogan Rd
City
Bangor
State
Maine
Zip
04401-3605
Phone Number
207-873-1131
Fax Number
207-872-6014
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
(Maine)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
(Maine)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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