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Individual

ANDREW CHARLES MAITSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
1326 CHESTNUT ST, PHILADELPHIA, PA 19107-4525
(833) 599-2560
Mailing address
321 FOUNTAIN ST, PHILADELPHIA, PA 19128-4511
(610) 515-5234

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OC020820
PA

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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