Individual
KELSEY GRYCKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 MAPLE AVE, LAKE ARIEL, PA 18436-4207
(856) 693-1531
Mailing address
158 MAPLE AVE, LAKE ARIEL, PA 18436-4207
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019773
PA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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