Tanace Ellis
Tanace Ellis is an Occupational Therapy Assistant in Jacksonville, Florida. Practices as a sole proprietor. Licensed in California and Florida.
- Licensed in
- CA, FL
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
10100 Baymeadows Rd APT#1504Jacksonville, FL 32256-0536
Phone: (904) 654-1499
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Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 12888 (FL) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence 3042 (CA) |
Record details
| NPI number | 1831570787 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 16, 2015 |
| Last updated in NPPES | June 16, 2015 |
| Mailing address | 10100 Baymeadows Rd, Apt#1504, Jacksonville, FL 32256-0536 |
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