Visser, Elizabeth

Visser, Elizabeth is an individual health care provider with primary practice located at 3221 Beacon Pkwy Ste 100 , Granger IN 46530-7196. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Visser, Elizabeth can be contacted via phone (574) 647-2930.

Contact Information

Primary practice address
3221 Beacon Pkwy Ste 100 Granger IN 46530-7196
Phone: (574) 647-2930
Fax: (574) 647-2935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT00003199 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 31006709A Indiana

Profile Details

NPI number 1801139530
LBN Legal business name Visser, Elizabeth
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2013
Last updated Feb 7th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801139530 NPPES
Indiana MEDICAID 300085802

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