Provider Demographics
NPI:1992459226
Name:UHLMANN, ELIZABETH (COTA/L)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:UHLMANN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2882 WEXFORD DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-3239
Mailing Address - Country:US
Mailing Address - Phone:989-484-0624
Mailing Address - Fax:
Practice Address - Street 1:1919 BOSTON ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-4185
Practice Address - Country:US
Practice Address - Phone:616-245-9179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-06
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5303024100183700000X
MI5202008756224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No183700000XPharmacy Service ProvidersPharmacy Technician