Kelly Ellis

NPI #1760778559 in Summit, Mississippi

Provider Information

NPI Number
1760778559
Entity Type
Individual
Name
Kelly Ellis
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Jun 21, 2011
Last Updated
Jun 21, 2011

Practice Location

Address
4109 HIGHWAY 98 W
City
Summit
ZIP Code
39666-9132
Phone
(601) 276-3900

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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