Individual
MRS. AMY LYNN ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
204 HIGH ST, MORRISTOWN, NY 13664-3219
(315) 375-6383
Mailing address
204 HIGH ST, MORRISTOWN, NY 13664-3219
(315) 375-6383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7297915
NY
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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