Provider Demographics
NPI:1942351325
Name:PLAGENS, CAMERON MARY (MAATR)
Entity Type:Individual
Prefix:MS
First Name:CAMERON
Middle Name:MARY
Last Name:PLAGENS
Suffix:
Gender:F
Credentials:MAATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24308 BRUCE RD
Mailing Address - Street 2:
Mailing Address - City:BAY VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44140-2938
Mailing Address - Country:US
Mailing Address - Phone:440-773-8356
Mailing Address - Fax:
Practice Address - Street 1:30400 DETROIT RD STE 105
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1855
Practice Address - Country:US
Practice Address - Phone:440-871-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist