Individual
KELLY ANN MACIEUNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
149 LAFAYETTE AVE, TAMAQUA, PA 18252-4619
(570) 668-0337
Mailing address
27 E LAKEWOOD AVE, BARNESVILLE, PA 18214-2032
(570) 467-0460
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003676L
PA
Other
Enumeration date
07/29/2018
Last updated
07/29/2018
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