Individual
SARA FRANCES ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(313) 916-2600
Mailing address
460 MCKINLEY AVE, GROSSE POINTE FARMS, MI 48236-3240
(313) 643-4400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010310
MI
Other
Enumeration date
12/24/2018
Last updated
03/09/2021
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