Elizabeth M Wade, COTA
Individual provider Active NPI Occupational Therapy Assistant · Wakarusa, IN
NPI 1093422008 · NPPES record last updated Oct 31, 2022
Key facts
- NPI
- 1093422008
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32002000A (IN)
- Practice address
- 303 N Washington St
Wakarusa, IN 46573-9590 - Phone
- (574) 862-4511
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32002000A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32002000A | IN | Yes |
Addresses
Primary practice location
303 N Washington St
Wakarusa, IN 46573-9590
Mailing address
22327 Sommerset Place Blvd
Goshen, IN 46528-8317
Phone (574) 215-2035
Other providers in Wakarusa, IN
- Seifert Healthcare LLC
- Brent Douglas Sonner III
- The Waters of Wakarusa Skilled Nursing Facility LLC
- Tri-County Ambulance Service, Inc.
- Kathy Jo Ulrich
- Wakarusa Ambulance Service, Inc.
- Wakarusa Volunteer Fire Department
- Wakarusa Wellness Clinic LLC
- Wanee Walk in Clinic LLC
- Jamie Watkins
All providers in Wakarusa, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.