Individual
MRS. REBECCA SUZANNE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
15600 SAN PEDRO AVE STE 307, SAN ANTONIO, TX 78232-3739
(180) 043-7756
(210) 545-1657
Mailing address
2727 STAR AVE, GLENN HEIGHTS, TX 75154-2017
(214) 797-1864
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209082
TX
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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