Healthcare Provider Details

I. General information

NPI: 1164029831
Provider Name (Legal Business Name): SARABETH PLOTKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2020
Last Update Date: 10/06/2020
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 VALENTINE RD
PITTSFIELD MA
01201-3042
US

IV. Provider business mailing address

1117 STRATFORD AVE
ELKINS PARK PA
19027-3028
US

V. Phone/Fax

Practice location:
  • Phone: 230-041-3445
  • Fax:
Mailing address:
  • Phone: 215-275-6208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: