Ellen Jean Eaton, OTR

NPI #1013563568 in South Bend, Indiana

Provider Information

NPI Number: 1013563568
Entity Type: Individual
Name: Ellen Jean Eaton, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Aug 12, 2019
Last Updated: Aug 12, 2019

Practice Location

Address: 2505 E JEFFERSON BLVD
City: South Bend
State: Indiana
ZIP Code: 46615-2635
Phone: (574) 289-3945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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