Provider Demographics
NPI:1508999574
Name:PLOTKIN, ERELA M
Entity Type:Individual
Prefix:MRS
First Name:ERELA M
Middle Name:
Last Name:PLOTKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5663 MELVIN ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15217-2210
Mailing Address - Country:US
Mailing Address - Phone:412-779-7950
Mailing Address - Fax:412-422-0211
Practice Address - Street 1:5663 MELVIN ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15217-2210
Practice Address - Country:US
Practice Address - Phone:412-779-7950
Practice Address - Fax:412-422-0211
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009876225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist