Individual
ASHLEY ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
Mailing address
134 INFIELD CT, MOORESVILLE, NC 28117-8026
(704) 799-6824
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
9879
NC
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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