Provider Demographics
NPI:1457549743
Name:LEMAY, ELIZABETH E (OT)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:E
Last Name:LEMAY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:E
Other - Last Name:DAUENHEIMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2899 W SANDGATE RD
Mailing Address - Street 2:
Mailing Address - City:SANDGATE
Mailing Address - State:VT
Mailing Address - Zip Code:05250-9514
Mailing Address - Country:US
Mailing Address - Phone:802-375-8089
Mailing Address - Fax:
Practice Address - Street 1:21 DANFORTH ST
Practice Address - Street 2:
Practice Address - City:HOOSICK FALLS
Practice Address - State:NY
Practice Address - Zip Code:12090-1223
Practice Address - Country:US
Practice Address - Phone:518-686-4371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005456-1225X00000X
VT072-0000055225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist