Individual
DONNA JEAN LAKSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5014 TOTHILL DR, OLNEY, MD 20832-1880
(410) 746-3067
Mailing address
5014 TOTHILL DR, OLNEY, MD 20832-1880
(410) 746-3067
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20883
MD
2251P0200X
Pediatric Physical Therapist
070.016993
IL
Other
Enumeration date
01/15/2010
Last updated
07/21/2020
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