Healthcare Provider Details

I. General information

NPI: 1568886349
Provider Name (Legal Business Name): ELIZABETH FEDOR OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2014
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7947 TARTAN FIELDS DR
DUBLIN OH
43017-8778
US

IV. Provider business mailing address

2112 CASE PKWY STE 10
TWINSBURG OH
44087-2378
US

V. Phone/Fax

Practice location:
  • Phone: 614-323-9469
  • Fax:
Mailing address:
  • Phone: 330-425-8474
  • Fax: 330-425-2905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number005857
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: