Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JULIETTE RACHEL ELLIS, P.T.
Active Sole ProprietorJULIETTE RACHEL ELLIS, P.T. is a Pediatric Occupational Therapy healthcare provider located in GLENCOE, Illinois. NPI 1780879908 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapy · GLENCOE, IL
Registration Details
- NPI Number
- 1780879908
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 11, 2007 (18.949126419469 yrs)
- Last Updated
- Sep 9, 2015
- Licenses
-
070008366 (IL)070008366 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
433 OAKDALE AVEGLENCOE, IL, 600222112Browse IL providers · Browse ZIP 60022
- Phone
- 8476025016
- Primary Specialty
-
Pediatric Occupational Therapy
2251P0200X
- Additional Specialty
- Physical Therapy Assistant
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.