Provider Demographics
NPI:1336810530
Name:HINDS, ELIZABETH SHORT (OTR/L)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:SHORT
Last Name:HINDS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:SHORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13 PROFILE CIR
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1716
Mailing Address - Country:US
Mailing Address - Phone:315-382-8522
Mailing Address - Fax:
Practice Address - Street 1:26 BROOKS ST # 3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-1711
Practice Address - Country:US
Practice Address - Phone:315-382-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-27
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist