Individual
ANN MARIE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2000 PRINCIPAL LN, FORT WALTON BEACH, FL 32547-6636
(850) 362-6495
(850) 362-6511
Mailing address
2000 PRINCIPAL LN, FORT WALTON BEACH, FL 32547-6636
(850) 362-6495
(850) 362-6511
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA 10456
FL
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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