Provider Demographics
NPI:1194362301
Name:MEJIA, ERINY (MSOT/L)
Entity Type:Individual
Prefix:
First Name:ERINY
Middle Name:
Last Name:MEJIA
Suffix:
Gender:F
Credentials:MSOT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 KRZYNOWEK CT
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-3148
Mailing Address - Country:US
Mailing Address - Phone:732-853-4089
Mailing Address - Fax:
Practice Address - Street 1:479 RTE 79
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-4061
Practice Address - Country:US
Practice Address - Phone:732-853-4089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-06
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics