Provider Demographics
NPI:1972874360
Name:GEARY, ELIZABETH ASHLEY-ALLEN (MOT OTR/L)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ASHLEY-ALLEN
Last Name:GEARY
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12512 ALUM SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-5111
Mailing Address - Country:US
Mailing Address - Phone:703-434-1926
Mailing Address - Fax:
Practice Address - Street 1:12512 ALUM SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-5111
Practice Address - Country:US
Practice Address - Phone:703-434-1926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005303225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA01190053003OtherSTATE LICENSE BOARD OF MEDICINE