Provider Demographics
NPI:1154450054
Name:PLECKI, SARAH J (OT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:J
Last Name:PLECKI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 ALAN DR
Mailing Address - Street 2:
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-1904
Mailing Address - Country:US
Mailing Address - Phone:815-474-0595
Mailing Address - Fax:815-463-0042
Practice Address - Street 1:516 ALAN DR
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1904
Practice Address - Country:US
Practice Address - Phone:815-474-0595
Practice Address - Fax:815-463-0042
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist