Provider Demographics
NPI:1427406610
Name:ENG, ELIZABETH NOWLIN (OTR/L)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:NOWLIN
Last Name:ENG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2485 ALMESBURY AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53045-1608
Mailing Address - Country:US
Mailing Address - Phone:262-391-8120
Mailing Address - Fax:
Practice Address - Street 1:2485 ALMESBURY AVE
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045-1608
Practice Address - Country:US
Practice Address - Phone:262-391-8120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-27
Last Update Date:2016-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI579-26225XL0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision