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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHELLE LEE ELLIS, COTA/L

Active

MICHELLE LEE ELLIS, COTA/L is a Occupational Therapy Assistant healthcare provider located in OTIS ORCHARDS, Washington. NPI 1013253426 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · OTIS ORCHARDS, WA

Registration Details

NPI Number
1013253426
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2012 (13.665049063577 yrs)
Last Updated
Dec 13, 2012
Licenses
OC00001159 (WA)
OTA-228 (ID)

Practice Information

Address
5821 N HERMOSA CIR
OTIS ORCHARDS, WA, 990278278
Browse WA providers · Browse ZIP 99027
Phone
5092096836
Primary Specialty
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.