Individual
JULIE SHEA ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
(903) 939-2433
Mailing address
5505 NEW COPELAND RD, TYLER, TX 75703-3955
(903) 939-2443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110370
TX
Other
Enumeration date
07/16/2009
Last updated
01/04/2018
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