Individual
ALYSSA LYNN ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2525 7TH AVE SOUTH, ESCANABA, MI 49829-1237
(906) 786-0408
Mailing address
555 COUNTY ROAD HQ, MARQUETTE, MI 49855-8855
(906) 225-5044
(906) 225-5049
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007320
MI
Other
Enumeration date
12/27/2007
Last updated
05/09/2011
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