Individual
MS. CLARA ANN ELLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
447 S COUNTRY CLUB RD, OSCEOLA, AR 72370-4207
(870) 563-0199
Mailing address
2578 GREENE 721 RD, PARAGOULD, AR 72450-7909
(870) 335-0257
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A2084
AR
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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