MS. Amanda Lynn Ketelsen, OTR
NPI #1851597983 in Coal Valley, Illinois
Provider Information
- NPI Number
- 1851597983
- Entity Type
- Individual
- Name
- MS. Amanda Lynn Ketelsen, OTR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Credential
- OTR
- Enumeration Date
- Jun 25, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11210 95TH ST
- City
- Coal Valley
- State
- Illinois
- ZIP Code
- 61240-9360
- Phone
- (309) 799-3161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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