Healthcare Provider Details

I. General information

NPI: 1982169629
Provider Name (Legal Business Name): ERICA MARIE DUNKELBERGER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 02/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 E OREGON RD
LITITZ PA
17543-9205
US

IV. Provider business mailing address

4414 NEW HOLLAND RD
MOHNTON PA
19540-8655
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-3271
  • Fax:
Mailing address:
  • Phone: 484-955-4157
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC015728
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: