Provider Demographics
NPI:1346436730
Name:GIERVELD, ELIZABETH CLAIRE (OTR)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CLAIRE
Last Name:GIERVELD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:ELIZABETH
Other - Middle Name:CLAIRE
Other - Last Name:MATHERLY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:3906 RED LEAF CT
Mailing Address - Street 2:
Mailing Address - City:POINT OF ROCKS
Mailing Address - State:MD
Mailing Address - Zip Code:21777-2043
Mailing Address - Country:US
Mailing Address - Phone:304-549-4723
Mailing Address - Fax:
Practice Address - Street 1:9701 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3326
Practice Address - Country:US
Practice Address - Phone:301-315-1982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05963225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist