Provider Demographics
NPI:1144600891
Name:WOODS, ELIZABETH GRACE (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:GRACE
Last Name:WOODS
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:100 PARK TERRACE DRIVE
Mailing Address - Street 2:APT 103
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-9998
Mailing Address - Country:US
Mailing Address - Phone:603-362-2800
Mailing Address - Fax:
Practice Address - Street 1:100 PARK TERRACE DRIVE
Practice Address - Street 2:APT 103
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-9998
Practice Address - Country:US
Practice Address - Phone:603-362-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-08
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
222Q00000X
NH2666225X00000X
MA12404225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist