Provider Demographics
NPI:1942367172
Name:EHRMANN, COLLEEN P (PT)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:P
Last Name:EHRMANN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:COLLEEN
Other - Middle Name:P
Other - Last Name:LENNON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1309 BARTON AVE
Mailing Address - Street 2:
Mailing Address - City:POINT PLEASANT
Mailing Address - State:NJ
Mailing Address - Zip Code:08742
Mailing Address - Country:US
Mailing Address - Phone:732-295-7918
Mailing Address - Fax:
Practice Address - Street 1:528 NEW FRIENDSHIP RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731
Practice Address - Country:US
Practice Address - Phone:732-901-8844
Practice Address - Fax:732-901-1814
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00658300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ065192Q8TMedicare ID - Type Unspecified