Individual
DANIEL JOHN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1710 PLAZA WAY, WALLA WALLA, WA 99362-4362
(509) 529-4218
(509) 522-1729
Mailing address
942 SE SENTRY DR, COLLEGE PLACE, WA 99324-4001
(509) 525-1514
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00003242
WA
Other
Enumeration date
01/29/2022
Last updated
01/29/2022
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