Individual
MRS. ASHLEY MICHELLE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
207 W CONWAY ST., BENTON, AR 72015
(501) 778-4861
(501) 776-5777
Mailing address
207 W CONWAY ST., BENTON, AR 72015
(501) 778-4861
(501) 776-5777
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A776
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199525721
—
AR
01
—
OT-A776
COTA LIC #
AR
Enumeration date
09/18/2013
Last updated
01/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us