Provider Demographics
NPI:1306546551
Name:VANHOUTEN, AUBREE TAYLOR (OTR/L)
Entity type:Individual
Prefix:
First Name:AUBREE
Middle Name:TAYLOR
Last Name:VANHOUTEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 OVERLOOK CIR
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2062
Mailing Address - Country:US
Mailing Address - Phone:267-614-0598
Mailing Address - Fax:
Practice Address - Street 1:11 OVERLOOK CIR
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-2062
Practice Address - Country:US
Practice Address - Phone:267-614-0598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC018957225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics