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

LYNN MARIE ELLSWORTH, COTA/L

Active

LYNN MARIE ELLSWORTH, COTA/L is a Occupational Therapy Assistant healthcare provider located in WHITEHALL, Michigan. NPI 1467011908 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · WHITEHALL, MI

Registration Details

NPI Number
1467011908
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2019 (7.1821491507473 yrs)
Last Updated
Jun 9, 2019
License
5202007777 (MI)

Practice Information

Address
7598 DURHAM RD
WHITEHALL, MI, 494619513
Browse MI providers · Browse ZIP 49461
Phone
2317305348
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.