Provider Demographics
NPI:1407224900
Name:WOJCIK, ELIZABETH ARIEL (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ARIEL
Last Name:WOJCIK
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:ARIEL
Other - Last Name:CRAWFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:45 SAREPTA RD
Mailing Address - Street 2:
Mailing Address - City:BELVIDERE
Mailing Address - State:NJ
Mailing Address - Zip Code:07823-2608
Mailing Address - Country:US
Mailing Address - Phone:908-283-3821
Mailing Address - Fax:
Practice Address - Street 1:45 SAREPTA RD
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-2608
Practice Address - Country:US
Practice Address - Phone:908-283-3821
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP006941224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant