Individual
MRS. DEBBIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
928 W MARKET ST, TIFFIN, OH 44883-2529
(419) 447-2927
Mailing address
928 W MARKET ST, TIFFIN, OH 44883-2529
(419) 447-2927
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
001033
OH
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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