Individual
HEATHER LYNN PANCZYKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1503 FOREST ACRES DR, GREENVILLE, NC 27834-6657
(716) 465-9476
Mailing address
1503 FOREST ACRES DR, GREENVILLE, NC 27834-6657
(716) 465-9476
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
005358-1
NY
Other
Enumeration date
08/12/2008
Last updated
03/04/2024
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