Individual
MRS. CAROLINE MARIE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
8929 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 596-4471
Mailing address
10005 NE 99TH TER, KANSAS CITY, MO 64157-7787
(816) 415-2455
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-00953
KS
Other
Enumeration date
12/28/2006
Last updated
07/08/2007
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