Individual
MRS. JENNIFER ELIZABETH MATLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
945 DUKE ST, LEBANON, PA 17042-7216
(717) 272-3092
Mailing address
318 MEMORIAL BLVD, NEWMANSTOWN, PA 17073-9612
(610) 589-6045
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011696
PA
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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