Lisa Susan Ellis, OT
NPI #1255622627 in Gladwyne, Pennsylvania
Provider Information
- NPI Number
- 1255622627
- Entity Type
- Individual
- Name
- Lisa Susan Ellis, OT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OT
- Enumeration Date
- Apr 20, 2011
- Last Updated
- Apr 20, 2011
Practice Location
- Address
- 1552 BRIAR HILL RD
- City
- Gladwyne
- State
- Pennsylvania
- ZIP Code
- 19035-1203
- Phone
- (610) 645-0178
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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