Individual
SANDRA KOWALCYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1950 CLIFFSIDE DR, STATE COLLEGE, PA 16801-7662
(814) 235-2034
(814) 235-6223
Mailing address
391 PINE GLEN RD, MOSHANNON, PA 16859-9310
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OPOOO145L
PA
Other
Enumeration date
08/01/2007
Last updated
08/01/2007
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