Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 0C000439-L | PA |
N | 225XF0002X | Feeding, Eating & Swallowing | 0C000439-L | PA |
N | 225XG0600X | Occupational Therapist - Gerontology | 0C000439-L | PA |
N | 225XL0004X | Low Vision | 0C000439-L | PA |
N | 225XM0800X | Mental Health | 0C000439-L | PA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 0C000439-L | PA |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 0C000439-L | PA |
NPI | 1003069162 |
---|---|
Provider Name | Laura Anne Platzer |
First Address | Plymouth Meeting, PA 19462-7116 |
Second Address | Plymouth Meeting, PA 19462-7116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2008 |
Last Update Date | 02/11/2008 |