Provider Demographics
NPI:1871615138
Name:ELSKES, CAROL ANN (OTR)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:ANN
Last Name:ELSKES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:ANN
Other - Last Name:ELSKES-PASCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1408 OLYMPUS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78733-2653
Mailing Address - Country:US
Mailing Address - Phone:512-771-3035
Mailing Address - Fax:
Practice Address - Street 1:1202 LAKEWAY DR STE 6A
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-4481
Practice Address - Country:US
Practice Address - Phone:512-261-3584
Practice Address - Fax:512-524-3649
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-05
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111854225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist