Individual
MARY LAUREN LEWIS JANUSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 CARR ROAD, WILMINGTON, DE 19809
(302) 740-4798
(302) 761-6951
Mailing address
800 CARR ROAD, WILMINGTON, DE 19809
(302) 740-4798
(302) 761-6951
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
U1-0001108
DE
225XP0200X
Pediatric Occupational Therapist
U1-0001108
DE
Other
Enumeration date
04/26/2010
Last updated
07/15/2015
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