Individual
MRS. JENNIFER M. EHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED. , C.O.T.A
Contact information
Practice address
9426 OLCOTT AVE, SAINT JOHN, IN 46373-9562
(219) 365-5878
Mailing address
9426 OLCOTT AVE, SAINT JOHN, IN 46373-9562
(219) 365-5878
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057000488
IL
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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