Individual
KAITLYN EHLERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 W LANE RD, MACHESNEY PARK, IL 61115-1625
(815) 469-1500
Mailing address
1205 W LANE RD, MACHESNEY PARK, IL 61115-1625
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056016054
IL
225X00000X
Occupational Therapist
122878
TX
Other
Enumeration date
08/15/2022
Last updated
07/25/2024
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