Individual
ELLIANA BIBASARI WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1500 AVENUE G, ELY, NV 89301-2539
(386) 871-2183
(775) 289-3208
Mailing address
3452 LAKE LYNDA DR STE 200, ORLANDO, FL 32817-1481
(386) 871-2183
(877) 219-7175
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-1439
NV
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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