Basic Information
Provider Information
NPI: 1740753870
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AMLINGER
FirstName: BRITTANY
MiddleName: LAUREN
NamePrefix:  
NameSuffix:  
Credential: OT
OtherOrganizationName:  
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Mailing Information
Address1: 7 CARNEGIE PLZ
Address2:  
City: CHERRY HILL
State: NJ
PostalCode: 080031000
CountryCode: US
TelephoneNumber: 8774073422
FaxNumber: 8774074329
Practice Location
Address1: 1415 RICHMOND AVE
Address2:  
City: STATEN ISLAND
State: NY
PostalCode: 103141553
CountryCode: US
TelephoneNumber: 8774073422
FaxNumber: 8774074329
Other Information
ProviderEnumerationDate: 01/11/2019
LastUpdateDate: 01/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X023203-1NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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