Individual
MS. DONNA LYNN REARICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
889 FAIRGROUND RD, LEWISBURG, PA 17837-8808
(570) 524-2221
Mailing address
5 E 10TH ST, WATSONTOWN, PA 17777-1013
(570) 419-6547
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP005820
PA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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