Individual provider · Type 1 NPI

Kristen Leigh Ellenburg, OTR/L

Occupational Therapist · West Columbia, SC

NPI number 1982848404 Active

Practice location

100 Joseph Walker Dr
West Columbia, SC 29169

Mailing address

3104 Heyward St
Columbia, SC 29205

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X1869 (SC)

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 1982848404

Kristen Leigh Ellenburg, OTR/L's National Provider Identifier is 1982848404, issued on Apr 28, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in West Columbia, SC. The record was last updated on Apr 28, 2009.