Theresa Denise Ellis, OTR
Occupational Therapist, Pediatrics in Columbia, SC. Individual provider (NPI-1).
NPI number1346310596
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1346310596
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Theresa Denise Ellis
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0200X | Occupational Therapist, Pediatrics | 1007 | SC | Yes |
Practice location
202 Magnolia Bluff DrColumbia, SC 29229-7529
Phone 803-419-7413
Mailing address
202 Magnolia Bluff DrColumbia, SC 29229-7529
Phone 803-419-7413
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All 10 Pediatric Occupational Therapist providers in Columbia · All 14,701 providers in Columbia
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