Ellis, Theresa Denise

Ellis, Theresa Denise is an sole proprietor health care provider with primary practice located at 202 Magnolia Bluff Dr , Columbia SC 29229-7529. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ellis, Theresa Denise can be contacted via phone (803) 419-7413.

Contact Information

Primary practice address
202 Magnolia Bluff Dr Columbia SC 29229-7529
Phone: (803) 419-7413
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 1007 South Carolina

Profile Details

NPI number 1346310596
LBN Legal business name Ellis, Theresa Denise
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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