Shannon Mazalusky, MSOTR/L

NPI #1326525783 in Tamaqua, Pennsylvania

Provider Information

NPI Number: 1326525783
Entity Type: Individual
Name: Shannon Mazalusky, MSOTR/L
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: MSOTR/L
Enumeration Date: Jul 27, 2018
Last Updated: Jul 27, 2018

Practice Location

Address: 149 LAFAYETTE AVE
City: Tamaqua
State: Pennsylvania
ZIP Code: 18252-4619
Phone: (570) 668-1775

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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