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NPI Code Detail

MEDICARE: ELISE CATHERINE ECKHOFF MOT, OTR

MEDICARE:   ELISE CATHERINE ECKHOFF  MOT, OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT009772GA

General Provider Information

NPI Number : 1659221208
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELISE CATHERINE ECKHOFF MOT, OTR
Provider Business Mailing Address
First Line : 2635 CENTURY PKWY NE STE 250
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3166
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2635 CENTURY PKWY NE STE 250
Second Line :
City : ATLANTA
State : GA
Zip : 30345-3166
Country : US
Telephone Number : 770-927-7424
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ ELISE CATHERINE ECKHOFF MOT, OTR” Practice Location

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