Individual
MARIA PHILOMENA LACZKOSKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR/L
Contact information
Practice address
3995 E MARKET ST, YORK, PA 17402-2773
(717) 757-1227
Mailing address
3995 E MARKET ST, YORK, PA 17402-2773
(717) 757-1227
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC008707
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019562420005
—
PA
Enumeration date
10/13/2006
Last updated
07/09/2007
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