Individual provider · Type 1 NPI

Crystal R. Ellis, OT

Specialist · Monroe, LA

NPI number 1487969168 Active

Practice location

1828 Tower Dr
Monroe, LA 71201-4938

Fax (318) 699-8954

Mailing address

109 Castor Cv
Calhoun, LA 71225-9301

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XZ12381 (LA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1487969168

Crystal R. Ellis, OT's National Provider Identifier is 1487969168, issued on Aug 18, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Monroe, LA. The record was last updated on Aug 18, 2010.