Individual
MRS. MAUREEN LAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1718 SPRING CREEK RD, MACUNGIE, PA 18062-9784
(610) 366-0500
Mailing address
321 IROQUOIS ST, EMMAUS, PA 18049-1716
(610) 349-1826
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1001156
PA
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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