Individual
MEGAN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 MALLARD COVE DR, CINCINNATI, OH 45246-3941
(513) 830-5014
Mailing address
6298 FIELDSTONE DR, MASON, OH 45040-8931
(513) 720-9092
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
011366
OH
Other
Enumeration date
02/16/2021
Last updated
02/16/2021
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