Individual
ELLEN BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
Mailing address
1219 DUNN AVE, DAYTONA BEACH, FL 32114-2405
(386) 255-4568
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.006960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0403568
—
OH
Enumeration date
02/24/2020
Last updated
04/29/2024
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