Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OCTAVIA ELLISON, CRC, CTRS
ActiveOCTAVIA ELLISON, CRC, CTRS is a Recreation Therapist healthcare provider located in LAKE CITY, Florida. NPI 1073180808 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · LAKE CITY, FL
Registration Details
- NPI Number
- 1073180808
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2021 (5.1395017049748 yrs)
- Last Updated
- Jun 9, 2021
Practice Information
- Address
-
619 S MARION AVELAKE CITY, FL, 320255808Browse FL providers · Browse ZIP 32025
- Phone
- 3867553016
- Primary Specialty
-
Recreation Therapist
225800000X
Other Recreation Therapist Providers in LAKE CITY, FL
| Name | Credential | NPI |
|---|---|---|
| BROOKE SCHMOLLY | CTRS | 1730584418 |
| KATIE J BLUNK | CTRS, CARSS II | 1922685734 |
| MORIOLE C DAVIS I | — | 1851091151 |
| KIMBERLY MOUTGALIAS | CTRS | 1174498331 |
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.