Individual
MRS. KIMBERLY ELIZABETH ELLNER
Active
Individual
MRS. KIMBERLY ELIZABETH ELLNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L,CLT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009254
PA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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