LISA ELLIS

ROCK HILL, SC
NPI1194151555
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  5090)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NC  8079)
Enumeration Date2013-09-17
Last Update Date2018-03-17
Business Address
LISA ELLIS OTR/L
197 PIEDMONT BLVD STE 205
ROCK HILL, SC 29732-1846
Phone number: 803-639-8066
Mailing Address
LISA ELLIS OTR/L
2675 COURT DR
GASTONIA, NC 28054-1478
Phone number: 704-824-7800