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1760076004
LAKEN ELLIS
CORDOVA, TN
NPI
1760076004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TN 6659)
Enumeration Date
2021-02-26
Last Update Date
2022-11-15
Business Address
LAKEN ELLIS OTR/L
146 TIMBER CREEK DR STE 101
CORDOVA, TN 38018-4396
Phone number: 901-654-5693
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Mailing Address
LAKEN ELLIS OTR/L
3971 KNIGHT ARNOLD RD
MEMPHIS, TN 38118-3004
Phone number:
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