Individual
MRS. SALLY MARIE DZIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
110 W NORTH ST, GEORGETOWN, DE 19947-2137
(302) 854-6575
Mailing address
13 APPLEWOOD LN, LEWES, DE 19958-9472
(302) 947-9196
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0000776
DE
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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