Individual
TRICIA MARGARET LACOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
160 LOIS LN, BANGOR, PA 18013-5306
(610) 737-8938
(610) 599-0817
Mailing address
160 LOIS LN, BANGOR, PA 18013-5306
(610) 737-8938
(610) 599-0817
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC005257L
PA
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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