| NPI | 1538751805 |
|---|---|
| Former Name | OLIVIA TRAVER ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61416697) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MT 5371) |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2023-05-24 |