Individual
JACQUELINE ZUKOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
111 DUG RD, WYOMING, PA 18644-9378
(570) 696-1811
Mailing address
111 DUG RD, WYOMING, PA 18644-9378
(570) 696-1811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC001750L
PA
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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