NPI 1174089072

Charlene Denise Ellison

Practitioner Occupational Therapy Assistant Laurel, MD

Practice location

Address: 14200 Laurel Park Dr, Laurel, MD 20707-5201
Phone: (410) 792-4717

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Maryland →

Registry record

NPI: 1174089072
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Feb 2019
Record last updated: 15 Feb 2019

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.