Individual
ANITA LYNN ELLSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
6900 HAMILTON BOULEVARD, TREXLERTOWN, PA 18089
(610) 402-0162
(610) 402-0132
Mailing address
1212 HIGHLAND DRIVE, OREFIELD, PA 18069
(610) 391-8960
(610) 391-1769
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003712L
PA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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