Eliza Ermold, OTR/L
Occupational Therapist in Vineland, New Jersey
1255457651- Practice location
- 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024
- Phone
- 856-690-9977
- Fax
- 856-507-9918
- Last updated
- December 19, 2017
Eliza Ermold is an Occupational Therapist based in Vineland, NJ. Eliza Ermold practices in Vineland, NJ and has the professional credentials of OTR/L. The NPI Number for Eliza Ermold is 1255457651 and holds a License No. 46TR00441400 (NJ). The current practice location address for Eliza Ermold is 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024 and can be reached out via phone at 856-690-9977 and via fax at 856-507-9918.
Provider Profile Details
- NPI Number
- 1255457651
- Provider Name
- Eliza Ermold
- Credential
- OTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024
- Phone Number
- 856-690-9977
- Fax Number
- 856-507-9918
- Primary Taxonomy
- Occupational Therapist · 225X00000X
- Sole Proprietor
- No
- Other Names
- Eliza Entrekin, OTR/L (Former Name)
- Provider Enumeration Date
- March 21, 2007
- Last Update Date
- December 19, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1940 S West Blvd Bldg A
Vineland, NJ 08360-7024 - City
- Vineland
- State
- New Jersey
- Zip
- 08360-7024
- Phone Number
- 856-690-9977
- Fax Number
- 856-507-9918
Provider Business Mailing Address Details
- Address
- 1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258 - City
- Islandia
- State
- NY
- Zip
- 11749-5258
- Phone Number
- 631-580-5200
- Fax Number
- 631-580-5222
License Information
- License Number (1)
- 46TR00441400
- License State (1)
- NJ
- Taxonomy (1)
- Occupational Therapist · 225X00000X
- License Number (2)
- 0119005752
- License State (2)
- VA
- Taxonomy (2)
- Occupational Therapist · 225X00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Eliza Ermold, OTR/L?
The NPI number of Eliza Ermold, OTR/L is 1255457651. It was assigned on March 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Eliza Ermold, OTR/L?
Eliza Ermold, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00441400.
Where does Eliza Ermold, OTR/L practice?
The practice location is 1940 S West Blvd Bldg A, Vineland, NJ 08360-7024. The office can be reached at 856-690-9977 (phone) or 856-507-9918 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255457651 directly on the NPPES registry website.