Individual
LAURA ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
565 RANDY LN, MONROE, OH 45050-1698
(513) 779-0128
Mailing address
565 RANDY LN, MONROE, OH 45050-1698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 03325
OH
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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