MEDICARE: MRS. EILEEN M LABOWSKI OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC006538L	PA

General Provider Information

NPI Number	:	1710191077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. EILEEN M LABOWSKI OTR

Provider Business Mailing Address
First Line	:	5815 SUN VALLEY RUN
Second Line	:
City	:	ZIONSVILLE
State	:	PA
Zip	:	18092-2044
Country	:	US
Telephone Number	:	610-966-3738
Fax Number	:	610-966-3738

Provider Business Practice Location Address
First Line	:	5815 SUN VALLEY RUN
Second Line	:
City	:	ZIONSVILLE
State	:	PA
Zip	:	18092-2044
Country	:	US
Telephone Number	:	610-966-3738
Fax Number	:	610-966-3738

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	07/08/2007

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