Provider Demographics
NPI:1659756922
Name:PFLAUMER, COLLEEN E (OTR/L)
Entity Type:Individual
Prefix:
First Name:COLLEEN
Middle Name:E
Last Name:PFLAUMER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 DEERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MILMAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08340-2018
Mailing Address - Country:US
Mailing Address - Phone:609-501-6828
Mailing Address - Fax:
Practice Address - Street 1:200 MARTER AVE.
Practice Address - Street 2:
Practice Address - City:MOUNT LAUREL
Practice Address - State:NJ
Practice Address - Zip Code:08054-2018
Practice Address - Country:US
Practice Address - Phone:856-291-4816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-28
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0000225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation