NPI 1396128674

Jessi Ellis, COTAL

Practitioner Occupational Therapy Assistant Decatur, AL

Practice location

Address: 1350 14th Ave SE, Decatur, AL 35601-4364
Phone: (256) 355-6911
Mailing address: 5112 County Road 109, Bremen, AL 35033-3519

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5999 (AL)

Other Occupational Therapy Assistant providers in Alabama →

Registry record

NPI: 1396128674
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jul 2015
Record last updated: 3 Jul 2015

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.