Provider Demographics
NPI:1740456508
Name:LAPORTA, ELIZABETH (COTA)
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:
Last Name:LAPORTA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 SPENCER AVE
Mailing Address - Street 2:
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-4436
Mailing Address - Country:US
Mailing Address - Phone:716-693-0327
Mailing Address - Fax:
Practice Address - Street 1:121 SPENCER AVE
Practice Address - Street 2:
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-4436
Practice Address - Country:US
Practice Address - Phone:716-693-0327
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001348-1224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant