Individual
KARL EHLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16819 81ST AVE APT 1S, TINLEY PARK, IL 60477-2058
(708) 476-4704
Mailing address
16819 81ST AVE APT 1S, TINLEY PARK, IL 60477-2058
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
99090495A
IN
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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