1386845071

Everything you always wanted to know about ELLIS R MARQUIS OTR-L but were afraid to ask.

ELLIS R MARQUIS OTR-L

You can also download the this 1386845071 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
ELLIS R MARQUIS OTR-L
Gender:
Female
Enumeration date:
2007-05-30
Last update date:
2007-07-08
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
Search for MARQUIS, ELLIS in
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Identifiers

identifier description issuer state
29818 Other WELLMARK BCBS IA

Taxonomies

Taxonomy State License Number Primary?
225X00000X Occupational Therapist IA 000905 Y

Phone Numbers

Type Number
Practice Location Address Telephone Number 5157278750
Practice Location Address Fax Number 5157278757

Addresses

Type Address City State Postal Country
Mailing Address 4229 SE 7TH ST DES MOINES IA 50315 IA
Practice Location Address 5406 MERLE HAY RD JOHNSTON IA 50131 IA

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1346454030 SMITH, KIRSTEN
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