Healthcare Provider Details

I. General information

NPI: 1700675501
Provider Name (Legal Business Name): ELYSHA ANDERSON MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELYSHA FINER

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 SKILES BLVD
WEST CHESTER PA
19382-7321
US

IV. Provider business mailing address

200 SKILES BLVD
WEST CHESTER PA
19382-7321
US

V. Phone/Fax

Practice location:
  • Phone: 856-577-4054
  • Fax:
Mailing address:
  • Phone: 856-577-4054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC019998
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: