Provider Demographics
NPI:1346389186
Name:SCHELHAMMER, ELIZABETH WESCOTT (MS OTRL)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:WESCOTT
Last Name:SCHELHAMMER
Suffix:
Gender:F
Credentials:MS OTRL
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:WESCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTRL
Mailing Address - Street 1:700 AMSTER GREEN DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-4139
Mailing Address - Country:US
Mailing Address - Phone:770-851-9553
Mailing Address - Fax:770-698-4178
Practice Address - Street 1:1000 HOLCOMB WOODS PKWY
Practice Address - Street 2:STE 426
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2575
Practice Address - Country:US
Practice Address - Phone:770-851-9553
Practice Address - Fax:770-698-4178
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT003027225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000908685CMedicaid
160080OtherBCBS PIN