JESSI ELLIS

DECATUR, AL
NPI1396128674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: AL  5999)
Enumeration Date2015-07-03
Last Update Date2015-07-03
Business Address
-- JESSI ELLIS COTA/L
1350 14TH AVE SE
DECATUR, AL 35601-4364
Phone number: 256-355-6911
Mailing Address
-- JESSI ELLIS COTA/L
5112 COUNTY ROAD 109
BREMEN, AL 35033-3519
Phone number: 256-783-1134