Ellithorpe, Lacie Taylor

Ellithorpe, Lacie Taylor is an individual health care provider with primary practice located at 4902 Creekside Dr Ste A , Clearwater FL 33760-4033. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ellithorpe, Lacie Taylor can be contacted via phone (727) 592-9100.

Contact Information

Primary practice address
4902 Creekside Dr Ste A Clearwater FL 33760-4033
Phone: (727) 592-9100
Fax: (727) 592-9109
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT23659 Florida

Profile Details

NPI number 1720627730
LBN Legal business name Ellithorpe, Lacie Taylor
Credentials OTD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2019
Last updated Nov 11th, 2022 - about 4 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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