Individual
ELISA WERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225CA2400X
Assistive Technology Practitioner Rehabilitation Counselor
—
—
225X00000X
Occupational Therapist
Primary
OT10448
FL
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Enumeration date
05/12/2018
Last updated
05/12/2018
Update your record
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