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

Individual provider Specialist · NPI 1750512117

Mrs. Kellie Sue Ebbole, COTA is a Specialist in Orlando, Florida. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3305 S Orange Ave
Orlando, FL 32806-6125
Phone: (407) 852-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1750512117
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedAugust 4, 2009
Last updated in NPPESAugust 4, 2009

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