NPI 1073180808

Octavia Ellison, CRCCTRS

Practitioner Recreation Therapist Lake City, FL

Practice location

Address: 619 S Marion Ave, Lake City, FL 32025-5808
Phone: (386) 755-3016
Mailing address: 4450 SW 32nd Rd APT 208, Gainesville, FL 32608-2081

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Florida →

Registry record

NPI: 1073180808
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2021
Record last updated: 9 Jun 2021

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.