Individual
ROBERT ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT/L, CHT
Contact information
Practice address
6970 N ORACLE RD, SUITE 130, TUCSON, AZ 85704-4237
(520) 219-5825
(520) 219-5827
Mailing address
6970 N ORACLE RD, SUITE 130, TUCSON, AZ 85704-4237
(520) 219-5825
(520) 219-5827
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0120
AZ
Other
Enumeration date
02/28/2012
Last updated
02/28/2012
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