| NPI | 1659662302 | 
|---|---|
| Former Name | ELLEN CAROL SCHAEFER | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MI 5201001382)  | 
| Enumeration Date | 2011-04-28 | 
| Last Update Date | 2011-04-28 |