CHARLIE ELLIS

Occupational Therapy Assistant

Active Individual
NPI: 1023827516

Practice Address

119 JEFFERSON CT
Leesburg, GA 31763

Phone: (229) 869-3919

Specialties

Specialty Code Primary License
Occupational Therapy Assistant 224Z00000X Yes OTA001662 (GA)

Frequently Asked Questions

NPI 1023827516 is the National Provider Identifier for CHARLIE ELLIS, a Occupational Therapy Assistant provider located in Leesburg, GA. This NPI was enumerated on December 30, 2024.
CHARLIE ELLIS practices at 119 JEFFERSON CT, Leesburg, GA 31763.

Quick Facts

NPI
1023827516
Type
Individual
Enumerated
Dec 30, 2024
Last Updated
Dec 30, 2024

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