Individual
BRITNIE ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4315 1ST AVE NE, BRADENTON, FL 34208-5431
(941) 284-2138
Mailing address
605 131ST ST E, BRADENTON, FL 34212-9197
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18727
FL
Other
Enumeration date
10/06/2017
Last updated
03/25/2022
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