Provider Demographics
NPI:1265248207
Name:MARKS, ELIZABETH (OT/L)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:MARKS
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:299 OHIO RIVER RD
Mailing Address - Street 2:
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-7647
Mailing Address - Country:US
Mailing Address - Phone:304-863-3259
Mailing Address - Fax:
Practice Address - Street 1:1915 HILL ST
Practice Address - Street 2:
Practice Address - City:BELPRE
Practice Address - State:OH
Practice Address - Zip Code:45714-1240
Practice Address - Country:US
Practice Address - Phone:740-281-2192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH005284225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist