Provider Demographics
NPI:1366252355
Name:JANKOWSKI, ELIZABETH ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANN
Last Name:JANKOWSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 SARLES LN
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-1940
Mailing Address - Country:US
Mailing Address - Phone:914-574-3911
Mailing Address - Fax:
Practice Address - Street 1:183 SARLES LN
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-1940
Practice Address - Country:US
Practice Address - Phone:914-574-3911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02968001225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist