Individual provider · Type 1 NPI

Kellie Sue Ebbole, COTA

Specialist · Orlando, FL

NPI number 1750512117 Active

Practice location

3305 S Orange Ave
Orlando, FL 32806-6125

Call (407) 852-3300 Map

Mailing address

654 Ascot Cir
Orlando, FL 32825-3215

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1750512117

Kellie Sue Ebbole, COTA's National Provider Identifier is 1750512117, issued on Aug 4, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Orlando, FL. The record was last updated on Aug 4, 2009.