Individual
ANGELA JF ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
900 WEST 94TH STREET, BLOOMINGTON, MN 55420
(952) 885-0418
(952) 885-0173
Mailing address
900 WEST 94TH STREET, BLOOMINGTON, MN 55420
(952) 885-0418
(952) 885-0173
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103170
MN
225XP0200X
Pediatric Occupational Therapist
Primary
103170
MN
Other
Enumeration date
04/16/2007
Last updated
12/17/2009
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