Individual
MRS. TOYA SHAE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1589 BAKER HWY, HUNTSVILLE, TN 37756-4131
(423) 215-5037
Mailing address
1589 BAKER HWY, HUNTSVILLE, TN 37756-4131
(423) 215-5037
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4297
TN
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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