TANACE ELLIS

JACKSONVILLE, FL
NPI1831570787
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: FL  12888)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: CA  3042)
Enumeration Date2015-06-16
Last Update Date2015-06-16
Business Address
-- TANACE ELLIS
10100 BAYMEADOWS RD APT#1504
JACKSONVILLE, FL 32256-0536
Phone number: 904-654-1499
Mailing Address
-- TANACE ELLIS
10100 BAYMEADOWS RD APT#1504
JACKSONVILLE, FL 32256-0536
Phone number: 904-654-1499