Provider Demographics
NPI:1003068602
Name:MCGLOIN, SUZANNE KERSTIN (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:SUZANNE
Middle Name:KERSTIN
Last Name:MCGLOIN
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:SUZANNE
Other - Middle Name:KERSTIN
Other - Last Name:TAGLIEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/R
Mailing Address - Street 1:600 W VALLEY FORGE RD
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1571
Mailing Address - Country:US
Mailing Address - Phone:610-337-1775
Mailing Address - Fax:
Practice Address - Street 1:17 ALMOND CT
Practice Address - Street 2:
Practice Address - City:LAFAYETTE HILL
Practice Address - State:PA
Practice Address - Zip Code:19444-2502
Practice Address - Country:US
Practice Address - Phone:610-825-9669
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008955225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist