Provider Demographics
NPI:1699364232
Name:MCELHANY, SYDNEY ANNE (OTR)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:ANNE
Last Name:MCELHANY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-4032
Mailing Address - Country:US
Mailing Address - Phone:903-277-0515
Mailing Address - Fax:
Practice Address - Street 1:3024 OLIVE ST
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-4032
Practice Address - Country:US
Practice Address - Phone:903-277-0515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-17
Last Update Date:2021-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118591225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist