Individual
CASSIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8420 UNIVERSITY EXEC PARK DR STE 825, CHARLOTTE, NC 28262-1346
(704) 752-1616
Mailing address
5113 PIPER STATION DR STE 103, CHARLOTTE, NC 28277-6690
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17492
NC
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
17492
NC
225XP0200X
Pediatric Occupational Therapist
17492
NC
Other
Enumeration date
01/08/2025
Last updated
03/05/2025
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