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Individual

ELISA MARIE KABELIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
700 DICKINSON RD, CHESTERTON, IN 46304-3540
(219) 983-1300
Mailing address
486 MEADOWWOOD DR, VALPARAISO, IN 46385-9029
(219) 381-6444

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32000328A
IN

Other

Enumeration date
10/14/2022
Last updated
10/14/2022
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