Individual
MRS. JACQUELYN ANN LASKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1600 HADDON AVE, CAMDEN, NJ 08103-3101
(856) 757-3619
Mailing address
445 ROBERTS AVE, BELLMAWR, NJ 08031-1404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09021500
NJ
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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