Individual
MRS. ALICJA GORECKA-TISERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
5500 BROOKTREE RD, SUITE 102, WEXFORD, PA 15090-9260
(724) 940-3468
Mailing address
1249 GOODMAN ST, PITTSBURGH, PA 15218-1105
(412) 244-6776
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC002911L
PA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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