Individual provider · Type 1 NPI

Clara Nanette Ellis, OTR/L

Occupational Therapist · Marion, IL

NPI number 1952654436 Active

Practice location

801 E Reeves St
Marion, IL 62959-3366

Fax (618) 993-1615

Mailing address

2763 Boskydell Rd
Carbondale, IL 62902-7714

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X056.003044 (IL)

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 1952654436

Clara Nanette Ellis, OTR/L's National Provider Identifier is 1952654436, issued on Oct 20, 2012. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Marion, IL. The record was last updated on Oct 20, 2012.