Kimyetta Ellis

NPI #1538630181 in Homewood, Illinois

Provider Information

NPI Number
1538630181
Entity Type
Individual
Name
Kimyetta Ellis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Dec 7, 2018
Last Updated
Dec 7, 2018

Practice Location

Address
18321 CALIFORNIA AVE
ZIP Code
60430-2812
Phone
(708) 261-6506

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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