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Individual

MRS. LISA M KOWALCZYK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
30 CAPITAL DR, WEST SPRINGFIELD, MA 01089-1350
(413) 333-6220
Mailing address
141 PROSPECT ST, EAST LONGMEADOW, MA 01028-2848
(508) 873-1959

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10660
MA

Other

Enumeration date
03/31/2022
Last updated
03/31/2022
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