Healthcare Provider Details

I. General information

NPI: 1538091830
Provider Name (Legal Business Name): KATJA DUMONT EHLERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

10 FENTON MAIN ST APT 275
CARY NC
27511-7806
US

V. Phone/Fax

Practice location:
  • Phone: 919-668-4000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number16890
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: