MEDICARE: STEVE EDWARD VOJTKO MOT, OTR/L, MBA

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	OT-04764	OH
2	225XE1200X	Ergonomics Occupational Therapist	OT-04764	OH
3	225XH1200X	Hand Occupational Therapist	OT-04764	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194804658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVE EDWARD VOJTKO MOT, OTR/L, MBA

Provider Business Mailing Address
First Line	:	265 CENTER STREET
Second Line	:
City	:	SEVILLE
State	:	OH
Zip	:	44273-8854
Country	:	US
Telephone Number	:	330-769-4677
Fax Number	:	330-769-4644

Provider Business Practice Location Address
First Line	:	265 CENTER STREET
Second Line	:
City	:	SEVILLE
State	:	OH
Zip	:	44273-8854
Country	:	US
Telephone Number	:	330-769-4677
Fax Number	:	330-769-4644

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	11/01/2010

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