Provider Demographics
NPI:1184687865
Name:STEFFA, ELIZABETH SPENCER (OTR L,CHT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SPENCER
Last Name:STEFFA
Suffix:
Gender:F
Credentials:OTR L,CHT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:STAUFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:275 SW 160TH ST
Mailing Address - Street 2:STE. 201
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-3003
Mailing Address - Country:US
Mailing Address - Phone:206-244-4263
Mailing Address - Fax:206-244-8703
Practice Address - Street 1:275 SW 160TH ST
Practice Address - Street 2:STE. 201
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3003
Practice Address - Country:US
Practice Address - Phone:206-244-4263
Practice Address - Fax:206-244-8703
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT00000769225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAA008OtherTRICARE
WA0102523OtherDEPT. OF LABOR&INDUSTRIES
WA8931811OtherCRIME VICTUMS
WA8339871Medicaid
WAST3835OtherREGENCE
WA8339871Medicaid