Individual
MRS. DANIELLE LAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTRL
Contact information
Practice address
1 N BELFIELD AVE, HAVERTOWN, PA 19083-4904
(267) 257-5784
Mailing address
1115 ALMOND DR, PHOENIXVILLE, PA 19460-5918
(267) 257-5784
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC008441
PA
Other
Enumeration date
04/14/2007
Last updated
04/07/2008
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