Lisa Ellis, MSOT
NPI #1063882454 in Grandville, Michigan
Provider Information
- NPI Number
- 1063882454
- Entity Type
- Individual
- Name
- Lisa Ellis, MSOT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- MSOT
- Enumeration Date
- Sep 29, 2015
- Last Updated
- Aug 30, 2018
Practice Location
- Address
- 3400 WILSON AVE SW
- City
- Grandville
- State
- Michigan
- ZIP Code
- 49418
- Phone
- (616) 534-5487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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