Ms. Dale B Ellenberg
Occupational Therapist Occupational Therapist - Gerontology
7308 Bryan St Fl 1
Philadelphia
, Pennsylvania 19119-1634
Ms. Dale B Ellenberg
Occupational Therapist Occupational Therapist - Gerontology
7308 Bryan St Fl 1
Philadelphia
, Pennsylvania 19119-1634
(267) 297-7527
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Ms. Dale B Ellenberg
- 7308 Bryan St 1st Fl
- Philadelphia, PA
- Zip : 19119-1634
- Fax : (267) 297-7527
- Phone : (215) 284-4256
Second Address
- Ms. Dale B Ellenberg
- 7308 Bryan St Fl 1
- Philadelphia, PA
- Zip : 19119-1634
- Phone : (215) 284-4256
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OC001722L | PA |
| N | 225XG0600X | Occupational Therapist - Gerontology |
National Provider Identifier
| NPI | 1235342171 |
|---|---|
| Provider Name | Ms. Dale B Ellenberg |
| First Address | Philadelphia, PA 19119-1634 |
| Second Address | Philadelphia, PA 19119-1634 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2007 |
| Last Update Date | 11/02/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.