Provider Demographics
NPI:1710191077
Name:LABOWSKI, EILEEN M (OTR)
Entity Type:Individual
Prefix:MRS
First Name:EILEEN
Middle Name:M
Last Name:LABOWSKI
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5815 SUN VALLEY RUN
Mailing Address - Street 2:
Mailing Address - City:ZIONSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18092-2044
Mailing Address - Country:US
Mailing Address - Phone:610-966-3738
Mailing Address - Fax:610-966-3738
Practice Address - Street 1:5815 SUN VALLEY RUN
Practice Address - Street 2:
Practice Address - City:ZIONSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18092-2044
Practice Address - Country:US
Practice Address - Phone:610-966-3738
Practice Address - Fax:610-966-3738
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006538L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist