CLARA NANETTE ELLIS

MARION, IL
NPI1952654436
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IL  056.003044)
Enumeration Date2012-10-20
Last Update Date2012-10-20
Business Address
Mrs. CLARA NANETTE ELLIS OTR/L
801 E REEVES ST
MARION, IL 62959-3366
Phone number: 618-534-2432
Mailing Address
Mrs. CLARA NANETTE ELLIS OTR/L
2763 BOSKYDELL RD
CARBONDALE, IL 62902-7714
Phone number: 618-457-7832