Individual
KATHERINE WYLEZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 BERK RD, LEESPORT, PA 19533-8705
(610) 376-4841
Mailing address
1011 BERK RD, LEESPORT, PA 19533-8705
(610) 376-4841
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007813
PA
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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