Provider Demographics
NPI:1609402973
Name:PLESCIA, DEBORAH MERRITT (CPO)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:MERRITT
Last Name:PLESCIA
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19392 CRAWFORD RD
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-8894
Mailing Address - Country:US
Mailing Address - Phone:512-564-0225
Mailing Address - Fax:
Practice Address - Street 1:19392 CRAWFORD RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8894
Practice Address - Country:US
Practice Address - Phone:512-564-0225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-19
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CPO1049222Z00000X, 224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist
No222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VACPO1049OtherAMERICAN BOARD FOR CERTIFICATION IN PROSTHETICS, ORTHOTICS AND PEDORTHICS