Individual
MS. AMEE ALENE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
835 CRATER LAKE AVE, MEDFORD, OR 97504-6505
(541) 773-7717
Mailing address
PO BOX 8743, MEDFORD, OR 97501
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1072189
OR
Other
Enumeration date
06/25/2009
Last updated
06/25/2009
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