MRS. Lavon Ellis I, COTA

NPI #1396948709 in Highland, Michigan

Provider Information

NPI Number
1396948709
Entity Type
Individual
Name
MRS. Lavon Ellis I, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Jun 6, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2636 S MILFORD RD
ZIP Code
48357-4938
Phone
(248) 684-9610

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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