Individual
ELLEN M MCCUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-6858
Mailing address
2015 POND DR, BATAVIA, IL 60510-8348
(630) 879-1962
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31003366A
IN
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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