Individual
DIANE S KOMITZKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
551 W LANCASTER AVE, HAVERFORD, PA 19041-1419
(610) 525-4000
Mailing address
1127 COVENTRY RD, CHELTENHAM, PA 19012-1003
(215) 635-9583
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003761L
PA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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