Provider Demographics
NPI:1427417583
Name:ERMAN, CARLY (OTR)
Entity Type:Individual
Prefix:MS
First Name:CARLY
Middle Name:
Last Name:ERMAN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BURRINGTON GORGE
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07090-3707
Mailing Address - Country:US
Mailing Address - Phone:908-472-9070
Mailing Address - Fax:
Practice Address - Street 1:746 PARK AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-2025
Practice Address - Country:US
Practice Address - Phone:855-484-1606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-17
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020224-1225X00000X
NJ46TR00725400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist