Elliana Bibasari Webb, COTA

NPI #1508353970 in Ely, Nevada

Provider Information

NPI Number
1508353970
Entity Type
Individual
Name
Elliana Bibasari Webb, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Apr 20, 2018
Last Updated
Apr 20, 2018

Practice Location

Address
1500 AVENUE G
City
Ely
State
Nevada
ZIP Code
89301-2539
Phone
(386) 871-2183

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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