Most Relevant Information
Provider Data
| NPI Number: | 1003064122 |
| Provider Name: | TERESA K ELSASS COTA/L |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | OTA002748 |
Most Important Dates
| Enumeration Date: | 09/03/2008 |
| Last Updated: | 11/24/2022 |
Provider Practice Location
9999 COLLEGE STREET
EAST LIBERTY
OH
43319
Practice Location Phone/Fax
| Phone: | 9375784061 |
| Fax: |
Provider Mailing Location
PO BOX 214
EAST LIBERTY
OH
433190214
Provider Mailing Phone/Fax
| Phone: | 9374415158 |
| Fax: |