Individual
ELIZABETH A THALER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2465 CANOPY GLN, MARIETTA, GA 30066-1541
(770) 517-2480
(770) 592-9431
Mailing address
PO BOX 670207, MARIETTA, GA 30066-0121
(770) 517-2480
(770) 592-9431
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2323
GA
225XP0200X
Pediatric Occupational Therapist
Primary
2323
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10040457
AMERIGROUP
GA
01
—
2323
OCCUPATIONAL THERAPY LIC
GA
01
—
318303
WELLCARE
GA
Enumeration date
12/11/2006
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us