Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROL ELLIS, PTA
ActiveCAROL ELLIS, PTA is a Occupational Therapist healthcare provider located in BRIDGEWATER, South Dakota. NPI 1649735515 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BRIDGEWATER, SD
Registration Details
- NPI Number
- 1649735515
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2019 (7.4836535880514 yrs)
- Last Updated
- Feb 5, 2019
- License
-
0078 (SD)
Practice Information
- Address
-
901 N MAIN AVEBRIDGEWATER, SD, 573192004Browse SD providers · Browse ZIP 57319
- Phone
- 6054218549
- Primary Specialty
-
Occupational Therapist
225200000X
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.