Individual
MS. MAUREEN A ZAGACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1020 OAK LANE AVE, PHILADELPHIA, PA 19126-3340
(215) 570-3818
Mailing address
3694 STANTON ST, PHILADELPHIA, PA 19129-1619
(215) 438-5894
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002665L
PA
Other
Enumeration date
11/29/2009
Last updated
03/20/2021
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