Search › Alabama › Occupational Therapy Assistant
Jacob Ellis
NPI 1306358270 · on the registry since 2017 · sole proprietor
Practice
- Address
- 97 Hughes Rd Ste H
Madison, AL 35758 - Phone
- (256) 883-7338
- Fax
- (256) 883-7135
- Organisation at this address
- Sixfourthree, Llc
Pharmacy Of Madison, Llc
Elite Pediatric Solutions LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 22
Registry record
- Primary taxonomy
- Occupational Therapy Assistant
224Z00000X
- Licence states on file
- AL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-10-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama