Individual
ELIZA ERMOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1940 S WEST BLVD BLDG A, VINELAND, NJ 08360-7024
(856) 690-9977
(856) 507-9918
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119005752
VA
225X00000X
Occupational Therapist
46TR00441400
NJ
Other
Enumeration date
03/21/2007
Last updated
12/19/2017
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