Individual
LAURA E YANICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
721 EMILY AVE, CROYDON, PA 19021-6725
(917) 647-3939
Mailing address
756 BRIGHTON WAY, NEW HOPE, PA 18938-9547
(917) 647-3939
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC012591
PA
Other
Enumeration date
06/30/2010
Last updated
02/22/2016
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