Most Relevant Information
Provider Data
| NPI Number: | 1003238197 |
| Provider Name: | LAUREN ZACK OTD, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 0C011910 |
Most Important Dates
| Enumeration Date: | 01/09/2014 |
| Last Updated: | 01/09/2014 |
Provider Practice Location
1555 E END BLVD
PLAINS TWP
PA
187027927
Practice Location Phone/Fax
| Phone: | 5704088819 |
| Fax: | 5708226076 |
Provider Mailing Location
1555 E END BLVD
PLAINS TWP
PA
187027927
Provider Mailing Phone/Fax
| Phone: | 5704088819 |
| Fax: | 5708226076 |