Provider Demographics
NPI:1528250925
Name:ARANDA, JAHLYN A (OTR)
Entity type:Individual
Prefix:
First Name:JAHLYN
Middle Name:A
Last Name:ARANDA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:JAHLYN
Other - Middle Name:
Other - Last Name:ALDANA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:72 BIRCHWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1302
Mailing Address - Country:US
Mailing Address - Phone:646-639-7729
Mailing Address - Fax:
Practice Address - Street 1:72 BIRCHWOOD DR
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1302
Practice Address - Country:US
Practice Address - Phone:646-639-7729
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-10
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0144251225X00000X
NJ46TR00622700225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist