Provider Demographics
NPI:1851670459
Name:KERL, ELIZABETH ELLEN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ELLEN
Last Name:KERL
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 RIPPLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ELSMERE
Mailing Address - State:KY
Mailing Address - Zip Code:41018-2695
Mailing Address - Country:US
Mailing Address - Phone:859-322-0148
Mailing Address - Fax:
Practice Address - Street 1:501 RIPPLE CREEK DR
Practice Address - Street 2:
Practice Address - City:ELSMERE
Practice Address - State:KY
Practice Address - Zip Code:41018
Practice Address - Country:US
Practice Address - Phone:859-322-0148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-12
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant