Individual
ELLIE JANE BINGAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6595B ROOSEVELT BLVD, PHILADELPHIA, PA 19149-2918
(215) 743-2332
Mailing address
32 QUILL RD, LEVITTOWN, PA 19057-2017
(267) 406-8670
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017693
PA
Other
Enumeration date
07/27/2021
Last updated
03/17/2025
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