Individual
ELLIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
903 E WAYNE ST, CELINA, OH 45822-1382
(419) 586-2077
Mailing address
100 E SUGAR ST, CRIDERSVILLE, OH 45806-2342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA007405
OH
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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