Provider Demographics
NPI:1467787614
Name:ECKHARD, ELIZABETH ANN (MOT, OTR/L)
Entity Type:Individual
Prefix:MR
First Name:ELIZABETH
Middle Name:ANN
Last Name:ECKHARD
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 COLONY HILL CT
Mailing Address - Street 2:
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-2515
Mailing Address - Country:US
Mailing Address - Phone:410-737-0114
Mailing Address - Fax:
Practice Address - Street 1:51 COLONY HILL CT
Practice Address - Street 2:
Practice Address - City:HALETHORPE
Practice Address - State:MD
Practice Address - Zip Code:21227-2515
Practice Address - Country:US
Practice Address - Phone:410-737-0114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05884225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist