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Individual

MRS. COURTNEY ANN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS OTR/L

Contact information

Practice address
43 NEW SCOTLAND AVENUE, ALBANY, NY 12208
(518) 262-3291
(518) 262-4492
Mailing address
43 NEW SCOTLAND AVENUE, ALBANY, NY 12208
(518) 262-3291
(518) 262-4492

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
023434-01
NY
225XP0019X
Physical Rehabilitation Occupational Therapist
023434-1
NY

Other

Enumeration date
01/08/2020
Last updated
10/06/2023
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