Individual
ALYSSA JOANN EHNLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-1243
(309) 655-2000
Mailing address
1201 NEWCASTLE RD, WASHINGTON, IL 61571-1243
(309) 444-3161
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014251
IL
Other
Enumeration date
06/20/2021
Last updated
10/24/2021
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