Individual
ELIZABETH ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19401 40TH AVE W, SUITE 330, LYNNWOOD, WA 98036-4612
(425) 670-9987
Mailing address
2800 ELLIOTT AVE, APT. 628, SEATTLE, WA 98121-1170
(612) 481-6176
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103241
MN
225X00000X
Occupational Therapist
Primary
60012821
WA
Other
Enumeration date
03/22/2011
Last updated
06/12/2013
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