Provider Demographics
NPI:1639418304
Name:ELSNER, AIMEE L (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:L
Last Name:ELSNER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 HIRSCH RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-3207
Mailing Address - Country:US
Mailing Address - Phone:917-214-1165
Mailing Address - Fax:
Practice Address - Street 1:76 HIRSCH RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-3207
Practice Address - Country:US
Practice Address - Phone:917-214-1165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-31
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007362225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist