Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charlene Denise Ellison

Individual provider Occupational Therapy Assistant · NPI 1174089072

Charlene Denise Ellison is an Occupational Therapy Assistant in Laurel, Maryland. Licensed in Maryland. Registered with an NPI since 2019.

Licensed in
MD
In the registry since
2019

Practice location Address checks out

14200 Laurel Park Dr
Laurel, MD 20707-5201
Phone: (410) 792-4717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X (MD)

Record details

NPI number1174089072
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2019
Last updated in NPPESFebruary 15, 2019
Mailing address14200 Laurel Park Dr, Laurel, MD 20707-5201

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