Provider Demographics
NPI:1568017721
Name:WENSCHHOF, ELISABETH MARIE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:ELISABETH
Middle Name:MARIE
Last Name:WENSCHHOF
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:ELISABETH
Other - Middle Name:MARIE
Other - Last Name:EAKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:814 RATHTON RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3350
Mailing Address - Country:US
Mailing Address - Phone:717-814-1234
Mailing Address - Fax:
Practice Address - Street 1:970 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3430
Practice Address - Country:US
Practice Address - Phone:717-845-2661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP009697224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant