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Octavia Ellison, CRC,CTRS
Recreation Therapist in Lake City, Florida
NPI 1073180808

Octavia Ellison is a Recreation Therapist based in Gainesville, FL. Octavia Ellison practices in Lake City, FL and has the professional credentials of CRC,CTRS. The NPI Number for Octavia Ellison is 1073180808 and holds a License No. (Florida).

The current practice location address for Octavia Ellison is 619 S Marion Ave, Lake City, FL and can be reached out via phone at 386-755-3016.

Location: 619 S Marion Ave, Lake City, FL, 32608-2081
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073180808
Provider Name
Octavia Ellison
Credential
CRC,CTRS
Provider Entity Type
Individual
Gender
Female
Address
619 S Marion Ave, Lake City, FL, 32608-2081
Phone Number
386-755-3016
Fax Number
Provider Enumeration Date
06/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 S Marion Ave
City
Lake City
State
Florida
Zip
32025-5808
Phone Number
386-755-3016
Fax Number
person
Provider Business Mailing Address Details
Address
619 S Marion Ave
City
Lake City
State
Florida
Zip
32025-5808
Phone Number
386-755-3016
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Recreation Therapist
Speciality
-
Taxonomy
225800000X
License No.
()
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
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