Provider Demographics
NPI:1902291255
Name:EHRENFRIED, HOLLY L (OTR/C CHT OTD (OCCU)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:L
Last Name:EHRENFRIED
Suffix:
Gender:F
Credentials:OTR/C CHT OTD (OCCU
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 EXECUTIVE CAMPUS
Mailing Address - Street 2:PATHS, LLC
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-4502
Mailing Address - Country:US
Mailing Address - Phone:856-671-6000
Mailing Address - Fax:856-671-6015
Practice Address - Street 1:2901 EMRICK BLVD
Practice Address - Street 2:LEHIGH VALLEY HEALTH NETWORK REHABILITATION SERVICES
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-8017
Practice Address - Country:US
Practice Address - Phone:610-625-2169
Practice Address - Fax:610-625-2278
Is Sole Proprietor?:No
Enumeration Date:2015-04-03
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002612L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist