Individual
POLLENE VANLEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
400 MAIN ST, PHOENIXVILLE, PA 19460-3810
(610) 935-1120
(610) 935-5507
Mailing address
520 PHILADELPHIA ST, INDIANA, PA 15701-3902
(724) 463-7478
(724) 463-0931
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0164718000
INDEPENDENCE BLUE CROSS
PA
01
—
164224
HIGHMARK BLUE SHIELD
PA
01
—
256072
HEALTH AMERICA-ASSURANCE
PA
Enumeration date
07/13/2005
Last updated
02/01/2010
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