Individual
ELLICE NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
(330) 498-8239
Mailing address
339 E MAPLE ST, NORTH CANTON, OH 44720-2593
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT. 008473
OH
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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