Individual
ELISHA PURVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1160 VARNUM ST NE STE 315, WASHINGTON, DC 20017-2103
(202) 575-5404
(301) 576-5404
Mailing address
2721 TERRACE RD SE APT A319, WASHINGTON, DC 20020-2543
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA100000321
DC
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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