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

CHARLIE LAVERNE ELLIS

Active

CHARLIE LAVERNE ELLIS is a Occupational Therapy Assistant healthcare provider located in LEESBURG, Georgia. NPI 1023827516 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LEESBURG, GA

Registration Details

NPI Number
1023827516
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2024 (1.5867296611084 yrs)
Last Updated
Dec 30, 2024
License
OTA001662 (GA)

Practice Information

Address
119 JEFFERSON CT
LEESBURG, GA, 317634920
Browse GA providers · Browse ZIP 31763
Phone
2298693919
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in LEESBURG, GA

Name Credential NPI
STACY SUE RUSH COTA/L 1588853790
MS. CRYSTAL LEA SWAIN COTA/L 1255509121
MISS TAYLOR RENEE CHESHIRE 1952840902
ASHLEY BRINKLEY COTA/L 1871075986
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.