ELLEN JEAN EATON

SOUTH BEND, IN
NPI1013563568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: IN  31001875A)
Enumeration Date2019-08-12
Last Update Date2019-08-12
Business Address
ELLEN JEAN EATON OTR
2505 E JEFFERSON BLVD
SOUTH BEND, IN 46615-2635
Phone number: 574-289-3945
Mailing Address
ELLEN JEAN EATON OTR
15744 SUNRISE TRL
GRANGER, IN 46530-9034
Phone number: 574-360-1527
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