Individual
MS. SARA ELLENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1828 W WEBSTER AVE # 450, CHICAGO, IL 60614-2916
(847) 780-7086
Mailing address
1828 W WEBSTER AVE # 450, CHICAGO, IL 60614-2916
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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