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Contact Information

ELYSE N ACKERLY, COTA/L
2370 BRUCE B DOWNS BLVD
WESLEY CHAPEL, FL33544-9214
 Phone: 813-733-6152
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for ELYSE N ACKERLY · (Female)

NPI # 1033849930
Status Active
Credentials COTA/L (Licensed Certified Occupational Therapy Assistant )
Entity Individual
Enumeration date 06/14/2022
Last updated 06/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • FL License # 17287
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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