Provider Demographics
NPI:1366589699
Name:KRUTZ, ELIZABETHANN THERESA (MS, OTR, CHT)
Entity type:Individual
Prefix:
First Name:ELIZABETHANN
Middle Name:THERESA
Last Name:KRUTZ
Suffix:
Gender:F
Credentials:MS, OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GREENLEIGH AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-2704
Mailing Address - Fax:410-500-4266
Practice Address - Street 1:10450 SHAKER DR
Practice Address - Street 2:SUITE 113 C/O LB HAND THERAPY
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-1143
Practice Address - Country:US
Practice Address - Phone:410-997-0037
Practice Address - Fax:410-997-3510
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02985225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand