LISA ELLIS

GRANDVILLE, MI
NPI1063882454
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201009335)
Enumeration Date2015-09-29
Last Update Date2018-08-30
Business Address
LISA ELLIS MSOT
3400 WILSON AVE SW
GRANDVILLE, MI 49418
Phone number: 616-534-5487
Mailing Address
LISA ELLIS MSOT
2020 S CROSS CREEK DR SE
GRAND RAPIDS, MI 49508-8780
Phone number:
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