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

CRYSTAL R ELLIS, OT

Active Sole Proprietor

CRYSTAL R ELLIS, OT is a Specialist healthcare provider located in MONROE, Louisiana. NPI 1487969168 is currently active in the NPPES registry. Verify at CMS.

Specialist · MONROE, LA

Registration Details

NPI Number
1487969168
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2010 (15.950468552092 yrs)
Last Updated
Aug 18, 2010
License
Z12381 (LA)
Sole Proprietor
Yes

Practice Information

Address
1828 TOWER DR
MONROE, LA, 712014938
Browse LA providers · Browse ZIP 71201
Phone
3183382081
Fax
3186998954
Primary Specialty
Specialist
174400000X

Other Specialist Providers in MONROE, LA

Name Credential NPI
JARRAD W FAULK PT 1154377851
ROBERT S. HENDRICK JR. M.D. 1750313896
MR. PATRICK ANTHONY REGAN LCSW 1992724884
DR. WILLIAM ZOLLINGER M.D. 1952402042
STEFANIE L RAWLS LOTR 1699803825
PHILLIP BRADLEY HILL MS, ATC, LAT 1437503315
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.