NPI 1023510385
Tessa Ellyson, COTAL
Practice location
- Address
- 40289 Citizen Place North Rd, Shawnee, OK 74801-3701
- Phone
- (405) 201-2079
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1023510385
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Mar 2018
- Record last updated
- 2 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.