Provider Demographics
NPI:1508348525
Name:FERLANIE, ALIA JANELLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ALIA
Middle Name:JANELLE
Last Name:FERLANIE
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 1:211 FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-7833
Mailing Address - Country:US
Mailing Address - Phone:617-479-0837
Mailing Address - Fax:
Practice Address - Street 1:211 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-7833
Practice Address - Country:US
Practice Address - Phone:617-479-0837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10083225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist