Individual
ASHLEY FELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2089 US 40, SAINT ELMO, IL 62458-4178
(618) 553-1005
Mailing address
PO BOX 101, SAINT ELMO, IL 62458-0101
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003604
IL
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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