Individual
JILL EHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 W SHEBOYGAN ST, CAMPBELLSPORT, WI 53010-2853
(920) 533-3411
(920) 533-8918
Mailing address
114 W SHEBOYGAN ST, CAMPBELLSPORT, WI 53010-2853
(920) 533-3411
(920) 533-8918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5509-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327832
NBCOT CERTIFICATION NUMBER
WI
01
—
5509-26
WISCONSIN STATE LICENSE ID
WI
Enumeration date
06/30/2014
Last updated
01/29/2026
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