Provider Demographics
NPI:1528203239
Name:PLATT, SCHVONNE SHAWNTA (MS OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:SCHVONNE
Middle Name:SHAWNTA
Last Name:PLATT
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1843 OLIVER AVE # A4
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-1606
Mailing Address - Country:US
Mailing Address - Phone:516-285-0978
Mailing Address - Fax:
Practice Address - Street 1:1843 OLIVER AVE # A4
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-1606
Practice Address - Country:US
Practice Address - Phone:516-285-0978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012824-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist