Jacob Brannon Ellis

NPI #1306358270 in Madison, Alabama

Provider Information

NPI Number
1306358270
Entity Type
Individual
Name
Jacob Brannon Ellis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Oct 31, 2017
Last Updated
Oct 31, 2017

Practice Location

Address
97 HUGHES RD STE H
State
Alabama
ZIP Code
35758-3401
Phone
(256) 883-7338

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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