Individual
MS. DALE B ELLENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTRL
Contact information
Practice address
7308 BRYAN ST FL 1, PHILADELPHIA, PA 19119-1634
(215) 284-4256
Mailing address
7308 BRYAN ST, 1ST FL, PHILADELPHIA, PA 19119-1634
(215) 284-4256
(267) 297-7527
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001722L
PA
225XG0600X
Gerontology Occupational Therapist
—
—
Other
Enumeration date
05/07/2007
Last updated
02/11/2019
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