Anna Ellison

NPI #1164094207 in Peoria, Illinois

Provider Information

NPI Number: 1164094207
Entity Type: Individual
Name: Anna Ellison
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 16, 2021
Last Updated: Jul 16, 2021

Practice Location

Address: 530 NE GLEN OAK AVE
City: Peoria
State: Illinois
ZIP Code: 61637-0001
Phone: (309) 655-3779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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