Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0119005966 | VA |
NPI | 1265856520 |
---|---|
Provider Name | Erin Rebecca Plecker |
First Address | Lexington, VA 24450-1786 |
Second Address | Lexington, VA 24450-1786 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2014 |
Last Update Date | 07/02/2014 |