Provider Demographics
NPI:1922624089
Name:PIANALTO, ELIZABETH J (OTR)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:PIANALTO
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 1:300 W CLARENDON AVE STE 285
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85013-3474
Mailing Address - Country:US
Mailing Address - Phone:602-277-3686
Mailing Address - Fax:602-279-6934
Practice Address - Street 1:2195 W CHANDLER BLVD STE 180
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-6580
Practice Address - Country:US
Practice Address - Phone:480-963-9339
Practice Address - Fax:480-963-4098
Is Sole Proprietor?:No
Enumeration Date:2020-06-24
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOTH-009339225X00000X
AROTR3082225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist