OCTAVIA ELLISON

LAKE CITY, FL
NPI1073180808
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225800000X Recreation Therapist
Enumeration Date2021-06-09
Last Update Date2021-06-09
Business Address
OCTAVIA ELLISON CRC, CTRS
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
Mailing Address
OCTAVIA ELLISON CRC, CTRS
4450 SW 32ND RD APT 208
GAINESVILLE, FL 32608-2081
Phone number:
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