Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELISSA A DITZEL, OTRL
Active Sole ProprietorELISSA A DITZEL, OTRL is a Occupational Therapist healthcare provider located in SPRINGPORT, Michigan. NPI 1740533215 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · SPRINGPORT, MI
Registration Details
- NPI Number
- 1740533215
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 22, 2012 (13.813055471306 yrs)
- Last Updated
- Jun 21, 2021
- License
-
5201008380 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10550 N PARMA RDSPRINGPORT, MI, 492849720Browse MI providers · Browse ZIP 49284
- Phone
- 5172621884
- Primary Specialty
-
Occupational Therapist
225X00000X
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.