Individual provider · Type 1 NPI

Lacie Taylor Ellithorpe, OTD

Occupational Therapist · Clearwater, FL

NPI number 1720627730 Active

Practice location

4902 Creekside Dr Ste A
Clearwater, FL 33760-4033

Fax (727) 592-9109

Mailing address

2717 Seville Blvd Apt 10106
Clearwater, FL 33764-1174

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000XNone listed
Occupational Therapist Primary 225X00000XOT23659 (FL)

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 1720627730

Lacie Taylor Ellithorpe, OTD's National Provider Identifier is 1720627730, issued on Dec 23, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Clearwater, FL. The record was last updated on Nov 11, 2022.