Provider Demographics
NPI:1477957264
Name:THROWER, NATEARIA
Entity Type:Individual
Prefix:MRS
First Name:NATEARIA
Middle Name:
Last Name:THROWER
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:NATEARIA
Other - Middle Name:
Other - Last Name:THROWER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:5510 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19131-4978
Mailing Address - Country:US
Mailing Address - Phone:215-878-3477
Mailing Address - Fax:
Practice Address - Street 1:5510 POPLAR ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19131-4978
Practice Address - Country:US
Practice Address - Phone:215-878-3477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-22
Last Update Date:2014-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007980224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant