Individual
CHELSEA DIANE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
8909 RAND AVE, DAPHNE, AL 36526-9126
(251) 210-1632
(251) 625-3152
Mailing address
8909 RAND AVE, DAPHNE, AL 36526-9126
(251) 210-1632
(251) 625-3152
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3748
AL
225X00000X
Occupational Therapist
9471
NC
Other
Enumeration date
02/07/2014
Last updated
09/24/2015
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