Provider Demographics
NPI:1518783471
Name:DJERF, ONGELA (LMT)
Entity type:Individual
Prefix:
First Name:ONGELA
Middle Name:
Last Name:DJERF
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:748 CEDAR CT
Mailing Address - Street 2:
Mailing Address - City:RED HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18076-1363
Mailing Address - Country:US
Mailing Address - Phone:484-951-4167
Mailing Address - Fax:
Practice Address - Street 1:127 S 5TH ST STE 185
Practice Address - Street 2:
Practice Address - City:QUAKERTOWN
Practice Address - State:PA
Practice Address - Zip Code:18951-1677
Practice Address - Country:US
Practice Address - Phone:267-509-7717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA230046128225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist