Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Elmendorf

Individual provider Occupational Therapist · NPI 1881226181

Charles Elmendorf is an Occupational Therapist in Wall, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2020

Practice location Address checks out

1825 NJ-35
Wall, NJ 07719
Phone: (732) 832-7527
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 46TR00851900 (NJ)

Record details

NPI number1881226181
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 5, 2020
Last updated in NPPESFebruary 5, 2020
Certification dateFebruary 5, 2020
Mailing address65 Mulberry St, Medford, NJ 08055-2618

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