Individual
ELLEN MARY HOLPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22W419 BALSAM DR, GLEN ELLYN, IL 60137-7305
(630) 272-9351
Mailing address
22W419 BALSAM DRIVE, GLEN ELLYN, IL 60137-7305
(630) 272-9351
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
02/06/2008
Last updated
06/15/2015
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