Kelly Plottner, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Minerva, OH
NPI 1760811574 · NPPES record last updated Nov 3, 2013
Key facts
- NPI
- 1760811574
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 04678 (OH)
- Practice address
- 400 Carolyn CT
Minerva, OH 44657-8703 - Phone
- (330) 868-4101
- Fax
- (330) 868-7714
- NPI assigned
- Nov 3, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04678 | OH | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 04678 | OH | Yes |
Addresses
Primary practice location
400 Carolyn CT
Minerva, OH 44657-8703
Mailing address
400 Carolyn CT
Minerva, OH 44657-8703
Phone (330) 868-4104
Other providers in Minerva, OH
- Margaret Morris
- Diana Gwen Orr
- Emily L. Orr
- Melissa Anne Overly
- Perry M Lieberman OD
- Amanda Preas
- Premier Health Associates Inc
- Angela M Prendergast
- Debora Jean Prendergast
- Michael Pribula
All providers in Minerva, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.