| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELLIE NICOLE BRENDEL | 1114659505 | 2022-06-26 |
Ellie Nicole Brendel is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1114659505. Registration indicates Ellie Nicole Brendel is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Occupational Therapist (Occupational Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Ellie Nicole Brendel OTR/L |
| Practice Office Address | 604 LUCAS RD DUNN, NC US |
| Practice Office Telephone | 9108914600 |
| Mailing Address | 21812 S BRANDON ST FARMINGTON HILLS, MI 483366004 US |
| Business Telephone | 2489778338 |
| Code | Practice | License No State |
|---|---|---|
| 225X00000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Occupational Therapist Speech/Occupational/Physical Therapy/Chiropractor Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |