Individual
CORTNEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 S SULLIVAN AVE, FREMONT, MI 49412-1548
(231) 924-3300
Mailing address
653 MILLS AVE, NORTH MUSKEGON, MI 49445-2871
(231) 740-4979
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013733
MI
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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