Provider Demographics
NPI:1992045553
Name:OHLENSCHLAEGER, DEVON MARIE (PT)
Entity Type:Individual
Prefix:MISS
First Name:DEVON
Middle Name:MARIE
Last Name:OHLENSCHLAEGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DEVON
Other - Middle Name:
Other - Last Name:GUSTAFSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 EAGLE ROCK AVE
Mailing Address - Street 2:201
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3167
Mailing Address - Country:US
Mailing Address - Phone:973-887-9000
Mailing Address - Fax:973-887-3816
Practice Address - Street 1:7408 LAKE WORTH RD
Practice Address - Street 2:SUITE 500
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2502
Practice Address - Country:US
Practice Address - Phone:561-432-3693
Practice Address - Fax:561-432-3694
Is Sole Proprietor?:No
Enumeration Date:2013-02-19
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist