Organization
ELM OCCUPATIONAL THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN L MITCHELL OTR (OWNER)
(229) 247-4673
Entity
Organization
Contact information
Practice address
828 VALERIE PL, VALDOSTA, GA 31605-6426
(229) 247-4673
(229) 247-4673
Mailing address
828 VALERIE PL, VALDOSTA, GA 31605-6426
(229) 247-4673
(229) 247-4673
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003572 GA
GA
Other
Enumeration date
06/15/2007
Last updated
08/22/2020
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