Individual provider · Type 1 NPI

Jacob Brannon Ellis

Occupational Therapy Assistant · Madison, AL

NPI number 1306358270 Active

Practice location

97 Hughes Rd Ste H
Madison, AL 35758-3401

Fax (256) 883-7135

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X4316 (AL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1306358270

Jacob Brannon Ellis's National Provider Identifier is 1306358270, issued on Oct 31, 2017. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Madison, AL. The record was last updated on Oct 31, 2017.