Individual
DANIELLE MARIE LEWICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1711 S 13TH ST UNIT 1, PHILADELPHIA, PA 19148-1512
(646) 625-9710
Mailing address
1711 S 13TH ST UNIT 1, PHILADELPHIA, PA 19148-1512
(646) 625-9710
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00901700
NJ
225X00000X
Occupational Therapist
Primary
OC014948
PA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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