Individual
TERESA K ELSASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9999 COLLEGE STREET, EAST LIBERTY, OH 43319
(937) 578-4061
Mailing address
PO BOX 214, EAST LIBERTY, OH 43319-0214
(937) 441-5158
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002748
OH
Other
Enumeration date
09/03/2008
Last updated
11/24/2022
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