Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. NATHAN ELLIS, OTR
ActiveMR. NATHAN ELLIS, OTR is a Pediatric Occupational Therapist healthcare provider located in CANTON, New York. NPI 1679859094 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · CANTON, NY
Registration Details
- NPI Number
- 1679859094
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2011 (14.824303105673 yrs)
- Last Updated
- Oct 31, 2011
- License
-
010670-1 (NY)
Practice Information
- Address
-
139 OUTER STATE ST. RDCANTON, NY, 13617Browse NY providers · Browse ZIP 13617
- Phone
- 3153864504
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
Other Pediatric Occupational Therapist Providers in CANTON, NY
| Name | Credential | NPI |
|---|---|---|
| KAREN DIANE HOOVER | OT | 1164623666 |
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.