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Individual
MR. STEVEN J JELLUM
Active
Individual
MR. STEVEN J JELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
30813
OR
225X00000X
Occupational Therapist
76
HI
225X00000X
Occupational Therapist
Primary
OC011917
PA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT 12844
FL
Other
Enumeration date
05/02/2007
Last updated
03/11/2024
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