JACOB BRANNON ELLIS

MADISON, AL
NPI1306358270
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  4316)
Enumeration Date2017-10-31
Last Update Date2017-10-31
Business Address
JACOB BRANNON ELLIS
97 HUGHES RD STE H
MADISON, AL 35758-3401
Phone number: 256-883-7338
Mailing Address
JACOB BRANNON ELLIS
97 HUGHES RD STE H
MADISON, AL 35758-3401
Phone number: 256-883-7338
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