Provider Demographics
NPI:1265067169
Name:PLUSKOTA, ALLISON (OTR/L)
Entity type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:
Last Name:PLUSKOTA
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 1:879 SUNNYSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-1374
Mailing Address - Country:US
Mailing Address - Phone:330-807-7238
Mailing Address - Fax:
Practice Address - Street 1:8479 ROCKEFELLER LN
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-1075
Practice Address - Country:US
Practice Address - Phone:330-998-2055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-11
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT010881225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist