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

Individual provider Pediatric Occupational Therapist · NPI 1114675899

Mayline Vermullen, OTR is a Pediatric Occupational Therapist in Lakewood, New Jersey. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2022
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

211 Boulevard Of The Americas
Lakewood, NJ 08701
Phone: (215) 550-1360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OC014988 (PA)

Record details

NPI number1114675899
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedMarch 12, 2022
Last updated in NPPESDecember 19, 2025
Certification dateDecember 19, 2025

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