Individual
RICHARD LEE ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
8115 E. INDIAN SCHOOL RD., STE 125, SCOTTSDALE, AZ 85250
(480) 951-6451
(480) 951-6464
Mailing address
8115 E. INDIAN SCHOOL ROAD, STE 125, SCOTTSDALE, AZ 85250
(480) 951-6451
(480) 951-6464
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1528
AZ
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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