Most Relevant Information
Provider Data
| NPI Number: | 1003011156 |
| Provider Name: | MAHALIA ELAINE S ONG OTR/L, CHT, CLT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 46TR00305500 |
Most Important Dates
| Enumeration Date: | 06/19/2007 |
| Last Updated: | 02/03/2021 |
Provider Practice Location
1124 SOUTH AVE W
WESTFIELD
NJ
070901419
Practice Location Phone/Fax
| Phone: | 9082331222 |
| Fax: | 7328559755 |
Provider Mailing Location
PO BOX 1014
CLARK
NJ
070661014
Provider Mailing Phone/Fax
| Phone: | 7328559751 |
| Fax: | 7328559755 |