Individual provider · Type 1 NPI

Octavia Ellison, CRC, CTRS

Recreation Therapist · Lake City, FL

NPI number 1073180808 Active

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Call (386) 755-3016 Map

Mailing address

4450 SW 32nd Rd Apt 208
Gainesville, FL 32608-2081

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000XNone listed

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1073180808

Octavia Ellison, CRC, CTRS's National Provider Identifier is 1073180808, issued on Jun 9, 2021. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Lake City, FL. The record was last updated on Jun 9, 2021.