Individual
ELLEN PATRICIA SANDERS
Active
Individual
ELLEN PATRICIA SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31006252A
IN
225X00000X
Occupational Therapist
Primary
5201009676
MI
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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