Organization
ELLIS THERAPEUTIC CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACEY ELLIS OTR/L, MPH (CEO/OCCUPATIONAL THERAPIST)
(202) 834-2197
Entity
Organization
Contact information
Practice address
641 S ST NW, WASHINGTON, DC 20001
(202) 834-2197
Mailing address
2651 15TH ST NW, WASHINGTON, DC 20009-4603
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
OT585
DC
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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