Provider Demographics
NPI:1609328046
Name:GEIGER, ELIZABETH ANN (COTA/L)
Entity Type:Individual
Prefix:MISS
First Name:ELIZABETH
Middle Name:ANN
Last Name:GEIGER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MISS
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:GEIGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:COTA/L
Mailing Address - Street 1:1226 EMERALD CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-2575
Mailing Address - Country:US
Mailing Address - Phone:440-465-1831
Mailing Address - Fax:440-740-0819
Practice Address - Street 1:1226 EMERALD CREEK DR
Practice Address - Street 2:
Practice Address - City:BROADVIEW HTS
Practice Address - State:OH
Practice Address - Zip Code:44147-2575
Practice Address - Country:US
Practice Address - Phone:440-465-1831
Practice Address - Fax:440-740-0819
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2016-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA006650224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant