Individual
AMI TRICARICO ZAYKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
500 W HOSPITAL ST, TAYLOR, PA 18517-2012
(570) 562-2102
Mailing address
500 W HOSPITAL ST, TAYLOR, PA 18517-2012
(570) 562-2102
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC003179L
PA
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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