Provider Demographics
NPI:1023824224
Name:WHITLOW, ELIZABETH HOPE (OTR, MOT, CNT, NTMTC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HOPE
Last Name:WHITLOW
Suffix:
Gender:F
Credentials:OTR, MOT, CNT, NTMTC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:REGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR, MOT, CNT, NTMTC
Mailing Address - Street 1:6811 SHOALS WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8107
Mailing Address - Country:US
Mailing Address - Phone:765-623-2129
Mailing Address - Fax:
Practice Address - Street 1:6811 SHOALS WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8107
Practice Address - Country:US
Practice Address - Phone:765-623-2129
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31006054A225X00000X, 225XF0002X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics