Individual
KELLY LAUBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94 RARIG RD, CATAWISSA, PA 17820-8661
(570) 204-4116
Mailing address
94 RARIG RD, CATAWISSA, PA 17820-8661
(570) 204-4116
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006812L
PA
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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