Individual provider · Type 1 NPI

Mary Clarine Ellison, OTD

Occupational Therapist · Cheyenne, WY

NPI number 1427698927 Active

Practice location

3128 Boxelder Dr
Cheyenne, WY 82001-5808

Call (307) 634-7901 Map

Mailing address

602 Agate Ct
Fort Collins, CO 80525-8226

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XOT-1472 (WY)
Occupational Therapist 225X00000XOT-6066 (CO)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1427698927

Mary Clarine Ellison, OTD's National Provider Identifier is 1427698927, issued on Jan 13, 2020. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Cheyenne, WY. The record was last updated on Jan 13, 2020.