Ketelsen, Amanda Lynn

Ketelsen, Amanda Lynn is an sole proprietor health care provider with primary practice located at 11210 95Th St , Coal Valley IL 61240-9360. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ketelsen, Amanda Lynn can be contacted via phone (309) 799-3161.

Contact Information

Primary practice address
11210 95Th St Coal Valley IL 61240-9360
Phone: (309) 799-3161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 01734 Iowa
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Illinois

Profile Details

NPI number 1851597983
LBN Legal business name Ketelsen, Amanda Lynn
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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