Provider Demographics
NPI:1508007022
Name:SCHAFF, ELIZABETH ANNA (COTA/L)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNA
Last Name:SCHAFF
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:ANNA
Other - Last Name:SCHAFF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:7249 S HALL DR
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85615-1558
Mailing Address - Country:US
Mailing Address - Phone:520-236-3733
Mailing Address - Fax:
Practice Address - Street 1:7249 S HALL DR
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-1558
Practice Address - Country:US
Practice Address - Phone:520-236-3733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2314224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant