Provider Demographics
NPI:1437367984
Name:PRATT, SUZANNE SHRIVER (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:SHRIVER
Last Name:PRATT
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:MS
Other - First Name:SUZANNE
Other - Middle Name:DEBRA
Other - Last Name:SHRIVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:100 REEDEL RD.
Mailing Address - Street 2:BOX 7
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406
Mailing Address - Country:US
Mailing Address - Phone:267-240-4361
Mailing Address - Fax:
Practice Address - Street 1:4166 RITTENHOUSE LN.
Practice Address - Street 2:BOX 7
Practice Address - City:SKIPPACK
Practice Address - State:PA
Practice Address - Zip Code:19474
Practice Address - Country:US
Practice Address - Phone:267-240-4361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008481225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics