THERESA DENISE ELLIS

COLUMBIA, SC
NPI1346310596
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: SC  1007)
Enumeration Date2006-11-08
Last Update Date2007-07-08
Business Address
Mrs. THERESA DENISE ELLIS OTR
202 MAGNOLIA BLUFF DR
COLUMBIA, SC 29229-7529
Phone number: 803-419-7413
Mailing Address
Mrs. THERESA DENISE ELLIS OTR
202 MAGNOLIA BLUFF DR
COLUMBIA, SC 29229-7529
Phone number: 803-419-7413
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