Whalio Doctors

NPI 1023510385

Tessa Ellyson, COTAL

Practitioner Occupational Therapy Assistant Shawnee, OK

Practice location

Address
40289 Citizen Place North Rd, Shawnee, OK 74801-3701
Phone
(405) 201-2079

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 518 (OK)

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.