Individual
ELLEN OBENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
85 SIERRA PARK RD, MAMMOTH HOSPITAL, CA 93546-0660
(760) 934-7302
(760) 934-1779
Mailing address
PO BOX 660, 85 SIERRA PARK RD, MAMMOTH LAKES, CA 93546-0660
(760) 934-1779
(760) 934-1779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT30161
CA
225XE1200X
Ergonomics Occupational Therapist
OT30161
CA
225XH1200X
Hand Occupational Therapist
OT30161
CA
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT30161
CA
225XP0200X
Pediatric Occupational Therapist
OT30161
CA
Other
Enumeration date
02/13/2007
Last updated
09/11/2025
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