Provider Demographics
NPI:1154182715
Name:OT-LIZ PLLC
Entity type:Organization
Organization Name:OT-LIZ PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:METZGER
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:773-599-0202
Mailing Address - Street 1:2400 N LAKEVIEW AVE APT 1801
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-2739
Mailing Address - Country:US
Mailing Address - Phone:773-791-3303
Mailing Address - Fax:
Practice Address - Street 1:2400 N LAKEVIEW AVE APT 1801
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-2739
Practice Address - Country:US
Practice Address - Phone:773-791-3303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty