Individual
ELAINE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
10600 PECK RD, MANTUA, OH 44255-9505
(330) 221-7634
Mailing address
10600 PECK RD, MANTUA, OH 44255-9505
(330) 221-7634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC15836
PA
225X00000X
Occupational Therapist
OT-2221
ID
225X00000X
Occupational Therapist
Primary
OT012568
OH
Other
Enumeration date
10/16/2018
Last updated
05/29/2024
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