Individual
ELYSE NICOLE ACKERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2370 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-9214
(813) 733-6152
Mailing address
8014 N 46TH ST, TAMPA, FL 33617-6902
(605) 759-0768
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17287
FL
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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