Individual
ELIZABETH ANN STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-5300
Mailing address
216 E MILL ST, PORT ALLEGANY, PA 16743-1307
(814) 274-5300
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003229L
PA
Other
Enumeration date
06/10/2021
Last updated
06/10/2021
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