Provider Demographics
NPI:1043917545
Name:FERRER, ELLA CRISELDA M (OTR/L)
Entity Type:Individual
Prefix:
First Name:ELLA CRISELDA
Middle Name:M
Last Name:FERRER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 DRESHER RD UNIT 403
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-2089
Mailing Address - Country:US
Mailing Address - Phone:646-732-6332
Mailing Address - Fax:
Practice Address - Street 1:555 DRESHER RD UNIT 403
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-2089
Practice Address - Country:US
Practice Address - Phone:646-732-6332
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC014380225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist