Provider Demographics
NPI:1154590875
Name:LACOUR, TRICIA MARGARET (OTR/L)
Entity type:Individual
Prefix:
First Name:TRICIA
Middle Name:MARGARET
Last Name:LACOUR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:TRICIA
Other - Middle Name:MARGARET
Other - Last Name:HOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:160 LOIS LN
Mailing Address - Street 2:
Mailing Address - City:BANGOR
Mailing Address - State:PA
Mailing Address - Zip Code:18013-5306
Mailing Address - Country:US
Mailing Address - Phone:610-737-8938
Mailing Address - Fax:610-599-0817
Practice Address - Street 1:160 LOIS LN
Practice Address - Street 2:
Practice Address - City:BANGOR
Practice Address - State:PA
Practice Address - Zip Code:18013-5306
Practice Address - Country:US
Practice Address - Phone:610-737-8938
Practice Address - Fax:610-599-0817
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005257L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist