Individual
ADELAIDE EHLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5 ROOSEVELT AVE STE A, CHATHAM, NJ 07928-2572
(973) 507-9730
Mailing address
84 MONTCLAIR AVE, MONTCLAIR, NJ 07042-4131
(973) 619-2925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01105800
NJ
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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