Provider Demographics
NPI:1952640468
Name:PLATT, OLGA STYKOVA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:STYKOVA
Last Name:PLATT
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 1:253A DIMPSEY RD
Mailing Address - Street 2:
Mailing Address - City:HALIFAX
Mailing Address - State:PA
Mailing Address - Zip Code:17032-9665
Mailing Address - Country:US
Mailing Address - Phone:717-896-7669
Mailing Address - Fax:717-834-6332
Practice Address - Street 1:253A DIMPSEY RD
Practice Address - Street 2:
Practice Address - City:HALIFAX
Practice Address - State:PA
Practice Address - Zip Code:17032-9665
Practice Address - Country:US
Practice Address - Phone:717-896-7669
Practice Address - Fax:717-834-6332
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006337L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist