Doctor Name: | AMY LAUREN GORECKI |
NPI Number: | 1619152204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, OTR/L |
License Number: | OC010414 |
Business Practice Address: | 455 S Gulph Rd Executive Terrace Suite 230 King Of Prussia, PA - 194063114 |
Business Phone Number: | 6109920555 |
Business Fax Number: | |
Mailing Address: | 1930 Chestnut St, Apt. 5 A PHILADELPHIA |
State: | PA |
Postal Code: | 191034522 |
Phone Number: | 4153171974 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2008 |
NPI Last Update Date: | 01/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OC010414 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |