Provider Demographics
NPI:1164663696
Name:EHRENBERG-HYMAN, FRANCES (MA, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:FRANCES
Middle Name:
Last Name:EHRENBERG-HYMAN
Suffix:
Gender:F
Credentials:MA, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 W SAND SAGE
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87506-7784
Mailing Address - Country:US
Mailing Address - Phone:505-474-5810
Mailing Address - Fax:505-424-9331
Practice Address - Street 1:18 W SAND SAGE
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87506-7784
Practice Address - Country:US
Practice Address - Phone:505-474-5810
Practice Address - Fax:505-424-9331
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1894225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics