Individual
MRS. BRENDA JEAN DZIEDZIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1000 SCHUYLKILL MANOR RD, POTTSVILLE, PA 17901-3862
(570) 624-3228
Mailing address
1000 SCHUYLKILL MANOR RD, POTTSVILLE, PA 17901-3862
(570) 624-3228
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006613
PA
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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