Nicole Elledge, OTR

NPI #1003075417 in Lake Oswego, Oregon

Provider Information

NPI Number
1003075417
Entity Type
Individual
Name
Nicole Elledge, OTR
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist
Credential
OTR
Enumeration Date
Jun 2, 2008
Last Updated
May 6, 2022

Practice Location

Address
3900 KRUSE WAY PL
State
Oregon
ZIP Code
97035-2512
Phone
(503) 607-0566

Specialties & Taxonomy Codes

Specialty
Occupational Therapist

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