Individual
JOHNEEN M. MAYERCHECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 BROUWERS DR, LATROBE, PA 15650-2500
(724) 537-2743
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP003083L
PA
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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