Individual provider · Type 1 NPI

Ellen Jean Eaton, OTR

Occupational Therapist · South Bend, IN

NPI number 1013563568 Active

Practice location

2505 E Jefferson Blvd
South Bend, IN 46615-2635

Mailing address

15744 Sunrise Trl
Granger, IN 46530-9034

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X31001875A (IN)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1013563568

Ellen Jean Eaton, OTR's National Provider Identifier is 1013563568, issued on Aug 12, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in South Bend, IN. The record was last updated on Aug 12, 2019.