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Anna Ellison

Occupational Therapist in Peoria, IL. Individual provider (NPI-1).

NPI number1164094207
StatusActive
Last updated in NPPESJul 16, 2021

Details

NPI
1164094207
Entity type
Individual (NPI-1)
Name
Anna Ellison
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2021
Certification date
Jul 16, 2021
Last updated
Jul 16, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

Phone 309-655-3779

Mailing address

530 Ne Glen Oak Ave
Peoria, IL 61637-0001

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