Doctor Name: | MS. ROSEMARIE GENE ELLS |
NPI Number: | 1093964652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | 5201003961 |
License Number: | 5201003961 |
Business Practice Address: | 745 Water Tower Rd Big Rapids, MI - 493072135 |
Business Phone Number: | 2315921061 |
Business Fax Number: | 2315925139 |
Mailing Address: | 745 Water Tower Rd., BIG RAPIDS |
State: | MI |
Postal Code: | 49307 |
Phone Number: | 2315921061 |
Fax Number: | 2315925139 |
NPI Enumeration Date: | 09/18/2008 |
NPI Last Update Date: | 09/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | 5201003961 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |