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Individual
MRS. SHELLEY LYNN HANCZAR
Active
Individual
MRS. SHELLEY LYNN HANCZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED OCCUPATIO
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OC002319L
PA
225X00000X
Occupational Therapist
Primary
OC002319L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371913
HIGHMARK
PA
Enumeration date
09/12/2005
Last updated
10/10/2013
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