Lynn Marie Ellsworth, COTA/L
Occupational Therapy Assistant in Whitehall, MI. Individual provider (NPI-1).
NPI number1467011908
StatusActive
Last updated in NPPESJun 9, 2019
Details
- NPI
- 1467011908
- Entity type
- Individual (NPI-1)
- Name
- Lynn Marie Ellsworth
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2019
- Last updated
- Jun 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 5202007777 | MI | Yes |
Practice location
7598 Durham RdWhitehall, MI 49461-9513
Phone 231-730-5348
Mailing address
7598 Durham RdWhitehall, MI 49461-9513
Phone 231-730-5348
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