Individual provider · Type 1 NPI

Russell Duane Ellis, COMS, COTA/L

Occupational Therapy Assistant · Ann Arbor, MI

NPI number 1740058502 Active

Practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Call (734) 936-7070 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X5202006160 (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 1740058502

Russell Duane Ellis, COMS, COTA/L's National Provider Identifier is 1740058502, issued on Dec 12, 2023. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ann Arbor, MI. The record was last updated on Dec 12, 2023.