Individual
JACQUELINE LYNN ELICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
685 CAREY AVE, HANOVER TOWNSHIP, PA 18706-5489
(570) 829-0539
(570) 829-4036
Mailing address
430 INNOVATION DRIVE, BLAIRSVILLE, PA 15717-8096
(724) 343-4060
(724) 343-4069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009901
PA
Other
Enumeration date
10/22/2012
Last updated
01/13/2015
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