Individual
JEAN IHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
49 SHELL RD, MILL VALLEY, CA 94941-1551
(415) 902-6132
Mailing address
49 SHELL RD, MILL VALLEY, CA 94941-1551
(415) 902-6132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2317
CA
225XE0001X
Environmental Modification Occupational Therapist
2317
CA
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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