Organization
ELLAVATING YOU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA H HOGUE MSOTR (OCCUPATIONAL THERAPIST)
(256) 740-1236
Entity
Organization
Contact information
Practice address
3607 BEAVER RUN, JASPER, AL 35504-6767
(256) 740-1236
Mailing address
3607 BEAVER RUN, JASPER, AL 35504-6767
(256) 740-1236
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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