Individual
MORGAN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 N JEFFERSON ST, ROANOKE, VA 24016-1427
(540) 345-5111
Mailing address
611 S JEFFERSON ST APT 159, ROANOKE, VA 24011-2439
(540) 845-9885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008246
VA
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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