Individual
LYNN ELLEFSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2630 W 13TH ST, ASHTABULA, OH 44004-2405
(440) 992-1280
Mailing address
613 LAKE ERIE ST, CONNEAUT, OH 44030-1358
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OH3177311
OH
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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