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Individual

ELLEN VIOLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
100 SUMMIT AVE, FORT THOMAS, KY 41075-2034
(859) 409-0755
Mailing address
100 SUMMIT AVE, FORT THOMAS, KY 41075-2034
(859) 409-0755

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
137207
KY

Other

Enumeration date
06/10/2021
Last updated
06/10/2021
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