Individual
RENEE ELLERBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MCKEEN PL, MONROE, LA 71201-4406
(318) 388-3734
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20219
LA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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