IndividualActive
Lisa Ellis
NPI 1689276388 · Early Intervention Provider Agency · Wooster, OH
Provider details
- NPI number
- 1689276388
- Entity type
- Individual
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
916 N Grant St
Wooster, OH 44691-2828
Phone: (970) 210-0597
Fax: (970) 788-7525
Approximate (ZIP-level) locationGet directions
Mailing address
916 N Grant St
Wooster, OH 44691-2828
Registry dates
- Enumerated
- 2020-11-09
- Last updated
- 2020-11-09
- Certified
- 2020-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.