Individual
AMY DIANE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
124 LOUGHRIDGE DR, BEAVER FALLS, PA 15010-1422
(724) 846-5887
(724) 846-1867
Mailing address
124 LOUGHRIDGE DR, BEAVER FALLS, PA 15010-1422
(724) 846-5887
(724) 846-1867
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002925L
PA
Other
Enumeration date
08/17/2007
Last updated
08/22/2007
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