Provider Demographics
NPI:1508417015
Name:PLASSCHE, KATHARINE (OT)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:PLASSCHE
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 1:482 WILLOUGHBY AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11206-6482
Mailing Address - Country:US
Mailing Address - Phone:347-607-9267
Mailing Address - Fax:
Practice Address - Street 1:50 COURT ST STE 1210
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4867
Practice Address - Country:US
Practice Address - Phone:718-875-4030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-25
Last Update Date:2019-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022357225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist