Provider Demographics
NPI:1720407075
Name:ELGER, REGAN MARIE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:REGAN
Middle Name:MARIE
Last Name:ELGER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2373 TULANE CT
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-7962
Mailing Address - Country:US
Mailing Address - Phone:740-657-8783
Mailing Address - Fax:
Practice Address - Street 1:2373 TULANE CT
Practice Address - Street 2:
Practice Address - City:LEWIS CENTER
Practice Address - State:OH
Practice Address - Zip Code:43035-7962
Practice Address - Country:US
Practice Address - Phone:740-657-8783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT.004694225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist