Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XG0600X | Occupational Therapist - Gerontology | 46TR00284000 | NJ |
Y | 225XG0600X | Occupational Therapist - Gerontology | OC006507L | PA |
NPI | 1861810079 |
---|---|
Provider Name | Allison Ehlers |
First Address | Mercerville, NJ 08619-2640 |
Second Address | Mercerville, NJ 08619-2640 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 17/08/2017 |