NPI 1073949467
Ashley Michelle Ellison, COTAL
Practice location
- Address
- 207 W Conway St., Benton, AR 72015
- Phone
- (501) 778-4861
- Fax
- (501) 776-5777
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1073949467
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 18 Sep 2013
- Record last updated
- 18 Jan 2024
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.