Healthcare Provider Details

I. General information

NPI: 1518783471
Provider Name (Legal Business Name): ONGELA DJERF LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/25/2024
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 S 5TH ST STE 185
QUAKERTOWN PA
18951-1677
US

IV. Provider business mailing address

748 CEDAR CT
RED HILL PA
18076-1363
US

V. Phone/Fax

Practice location:
  • Phone: 267-509-7717
  • Fax:
Mailing address:
  • Phone: 484-951-4167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number230046128
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: