Individual
LARYSA OLENKA SPISIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1226 FAIRY HILL RD, JENKINTOWN, PA 19046-2924
(215) 887-0284
Mailing address
1226 FAIRY HILL RD, JENKINTOWN, PA 19046-2924
(215) 887-0284
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC008546
PA
Other
Enumeration date
11/23/2011
Last updated
11/23/2011
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