Individual
JULIE M ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
303 N. HURSTBOURNE PARKWAY SUITE 200, PARAGON REHABILITATION, LOUISVILLE, KY 40222
(502) 412-5847
Mailing address
1 ABERDEEN WAY 208, CAMBRIDGE, MA 02138
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1725
MA
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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