Individual
LAURIE CHRISTENA TABACHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
3804 RIVERVIEW ST, LOWER BURRELL, PA 15068-2232
(412) 477-7839
Mailing address
3804 RIVERVIEW ST, LOWER BURRELL, PA 15068-2232
(412) 477-7839
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
OC009483
PA
225X00000X
Occupational Therapist
Primary
OC009483
PA
Other
Enumeration date
01/24/2007
Last updated
11/19/2008
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