Healthcare Provider Details

I. General information

NPI: 1972323640
Provider Name (Legal Business Name): ERIN CLINEFF OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN MOONEY

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 W. RIDGE PIKE SUITE 479
LIMERICK PA
19468-1415
US

IV. Provider business mailing address

451 W. RIDGE PIKE SUITE 479
LIMERICK PA
19468-1415
US

V. Phone/Fax

Practice location:
  • Phone: 484-369-8953
  • Fax: 484-369-8753
Mailing address:
  • Phone: 484-369-8953
  • Fax: 484-369-8753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC020233
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: