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Individual

DANA EHARDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
1513 N APPLEWOOD LN, SPRING GROVE, IL 60081-8078
(815) 814-0033
Mailing address
1513 N APPLEWOOD LN, SPRING GROVE, IL 60081-8078
(815) 814-0033

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5702-27
WI

Other

Enumeration date
03/21/2020
Last updated
03/21/2020
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