Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 46TR00000100 | NJ |
N | 225XH1200X | Occupational Therapist - Hand | OC009055 | PA |
NPI | 1174548846 |
---|---|
Provider Name | Mrs. Ellen E Weinman |
First Address | New Providence, NJ 07974-1557 |
Second Address | Denville, NJ 07834-2735 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 22/10/2015 |