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ELLEN OBENBERGER OT

Neurorehabilitation >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1396887279

Individual Registrant:
 ELLEN  OBENBERGER OT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
85 SIERRA PARK RD  MAMMOTH HOSPITAL, CA 93546-0660 US
Tel: 760-934-7302  Fax: 760-934-1779

Contact information for business:
PO BOX 660 85 SIERRA PARK RD MAMMOTH LAKES, CA 93546-0660 US
Tel: 760-934-1779  Fax: 760-934-1779

Registration Information:
NPI: 1396887279
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
X225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
Neurorehabilitation
CAOT30161
X225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CAOT30161
X225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CAOT30161
X225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CAOT30161
X225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CAOT30161

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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