Individual provider · Type 1 NPI
Lavon Ellis I, COTA
Occupational Therapy Assistant · Highland, MI
Practice location
2636 S Milford Rd
Highland, MI 48357-4938
Fax (248) 684-9611
Mailing address
18409 Grayfield
Detroit, MI 48219
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 5202002716 (MI) |
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 1396948709
Lavon Ellis I, COTA's National Provider Identifier is 1396948709, issued on Jun 6, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Highland, MI. The record was last updated on Jul 8, 2007.