AUSTIN ELLIS

FARGO, ND
NPI1114701075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ND  2041)
Enumeration Date2023-08-22
Last Update Date2023-08-22
Business Address
AUSTIN ELLIS OTR/L
1461 BROADWAY N
FARGO, ND 58102-2622
Phone number: 701-293-6037
Mailing Address
AUSTIN ELLIS OTR/L
1461 BROADWAY N
FARGO, ND 58102-2622
Phone number:
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