Individual
CAROL J PLAGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
225 E LOCUST ST, SAN ANTONIO, TX 78212-3955
(210) 261-3300
(210) 532-6090
Mailing address
3031 IH 10 W, SAN ANTONIO, TX 78201-5159
(210) 261-1000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
111528
TX
225XP0200X
Pediatric Occupational Therapist
111528
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173035001
—
TX
Enumeration date
06/22/2006
Last updated
02/02/2015
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