Individual
ELLIS A DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 N. IH 35, AUSTIN, TX 78701-1926
(512) 324-8320
(512) 324-8323
Mailing address
1400 N. IH 35, AUSTIN, TX 78701-1926
(512) 324-8320
(512) 324-8323
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
100441
TX
Other
Enumeration date
08/25/2009
Last updated
01/12/2012
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