Karlie Dehn
Individual provider Active NPI Occupational Therapist · Andover, NJ
NPI 1104514926 · NPPES record last updated May 10, 2023
Key facts
- NPI
- 1104514926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 46TR00854400 (NJ)
- Practice address
- 606 Lakeside Ave
Andover, NJ 07821-2993 - Phone
- (973) 459-9847
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46TR00854400 | NJ | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 46TR00854400 | NJ | Yes |
Addresses
Primary practice location
606 Lakeside Ave
Andover, NJ 07821-2993
Mailing address
606 Lakeside Ave
Andover, NJ 07821-2993
Phone (973) 459-9847
Other providers in Andover, NJ
- Center for Humanistic Change of NJ, Inc.
- Central Jersey Eyecare
- Community and Corporate Care, Inc.
- Shannon Cox
- Jonathan S. Cruz
- Nathan Fehnel
- Leia Fontana
- Conor Frehill
- Nicole Marie Fritzky
- Future Project
All providers in Andover, NJ · Occupational Therapist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.