Individual
MICHAELA ELIJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2528 BYPASS RD, ELKHART, IN 46514-1518
(574) 389-1776
Mailing address
30412 COUNTY ROAD 8, ELKHART, IN 46514-9742
(574) 370-4575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006997A
IN
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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