Individual
CARYN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
205 EMERALD POND LN, DURHAM, NC 27705-6051
(919) 371-2907
Mailing address
205 EMERALD POND LN, DURHAM, NC 27705-6051
(919) 371-2907
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10507
NC
Other
Enumeration date
11/01/2016
Last updated
07/21/2022
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