Individual
MRS. KIMBERLY LYNN MAZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
1900 LOVERING AVE, WILMINGTON, DE 19806-2123
(302) 652-3311
Mailing address
137 KENTUCKY AVE, WILMINGTON, DE 19804-3309
(917) 526-3082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011647
PA
Other
Enumeration date
05/23/2011
Last updated
02/21/2022
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