Individual
MACI KLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 STACIE DR, HAZLETON, PA 18201-5690
(570) 453-5100
Mailing address
297 TAYLORSVILLE MOUNTAIN RD, PITMAN, PA 17964-9299
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OT-2025-0219
NM
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
04/27/2023
Last updated
12/30/2025
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