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Tanace
Tanace
Ellis
Occupational therapist
Occupational therapy assistant
Jacksonville, United States
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Florida Health Care Practitioner Data Portal
Full name
TANACE ELLIS
Job Title
Occupational Therapy Assistant
Location
Jacksonville, FL, USA
LIC ID
5405
Current License Expiration Date
28/02/2025
Original Date
13/03/2013
Professional Rank Code
OTA
Effective Date
06/02/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
DUVAL
Mailing Address Line 2
Apt 1814
Practice Location Address Line 1
8680 Baymeadows Rd E
Practice Location Address Line 2
Apt 1814
Practice Location Address City
JACKSONVILLE
Practice Location Address State
FL
Practice Location Address Zipcode
32256
Prescribing Indicator
N
North Carolina Board of Occupational Therapy
Full name
Tanace Ellis
Job Title
Occupational Therapist
Location
US
License
10493
Standing
Good standing
Design ATR
OTA/L
Issue Date
8/5/2016
Renew Date
6/30/2024
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