Basic Information
| Provider Information | |||||||||
| NPI: | 1528662541 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SALTZER | ||||||||
| FirstName: | DEVON | ||||||||
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| Credential: | MS, OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 515 WYANDOTTE ST | ||||||||
| Address2: | |||||||||
| City: | CATASAUQUA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180322634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6103606225 | ||||||||
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| Practice Location | |||||||||
| Address1: | SUCCESS REHABILITATION, INC. | ||||||||
| Address2: | 5666 CLYMER RD. | ||||||||
| City: | QUAKERTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18951 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155383488 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2020 | ||||||||
| LastUpdateDate: | 12/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OC010832 | PA | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225XN1300X | OC010832 | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Neurorehabilitation |
No ID Information.