Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XG0600X | Occupational Therapist - Gerontology | 008380 | OH |
NPI | 1427475961 |
---|---|
Provider Name | Mrs. Francine Marianthe Ellis |
First Address | Toledo, OH 43615-3929 |
Second Address | Sylvania, OH 43560-1632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2014 |
Last Update Date | 21/03/2014 |