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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH RA FERTIG, OTR/L

Active Sole Proprietor

ELIZABETH RA FERTIG, OTR/L is a Environmental Modification Occupational Therapist healthcare provider located in INDEPENDENCE, Oregon. NPI 1508193871 is currently active in the NPPES registry. Verify at CMS.

Environmental Modification Occupational Therapist · INDEPENDENCE, OR

Registration Details

NPI Number
1508193871
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2009 (16.789774054381 yrs)
Last Updated
Nov 6, 2009
Licenses
476804 (OR)
476804 (OR)
Sole Proprietor
Yes

Practice Information

Address
7150 CORVALLIS RD
INDEPENDENCE, OR, 973519788
Browse OR providers · Browse ZIP 97351
Phone
5038382291
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.