Individual
MS. ELAINE ELLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
RR 5 BOX 950, SPENCER, IN 47460-9351
(812) 829-2331
Mailing address
289 W SUMNER AVE, MARTINSVILLE, IN 46151-2133
(765) 341-1120
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31001726A
IN
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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