Individual
ELIZABETH ANN DEUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
700 E WALNUT ST, BLOOMINGTON, IL 61701-3244
(309) 827-8004
Mailing address
2604 BLARNEY STONE LN, BLOOMINGTON, IL 61704-8412
(513) 328-9275
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013411
IL
225X00000X
Occupational Therapist
2016030096
MO
225XP0200X
Pediatric Occupational Therapist
2302
NE
Other
Enumeration date
09/12/2016
Last updated
06/08/2021
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