Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Russell Duane Ellis, COMS, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1740058502

Russell Duane Ellis, COMS, COTA/L is an Occupational Therapy Assistant in Ann Arbor, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-7070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202006160 (MI)

Record details

NPI number1740058502
Entity typeIndividual (Type 1)
GenderMale
Credentials COMS , COTA/L
Sole proprietorYes
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023

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