Provider Demographics
NPI:1518374461
Name:CHATMAJIAN, ALISSA ANN (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ALISSA
Middle Name:ANN
Last Name:CHATMAJIAN
Suffix:
Gender:
Credentials:MS OTR/L
Other - Prefix:MISS
Other - First Name:ALISSA
Other - Middle Name:ANN
Other - Last Name:BONJUKLIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:36 PEACH HILL CT
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-1229
Mailing Address - Country:US
Mailing Address - Phone:551-427-0944
Mailing Address - Fax:
Practice Address - Street 1:36 PEACH HILL CT
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-1229
Practice Address - Country:US
Practice Address - Phone:551-427-0944
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-11
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00650400225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist