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NPI Code Detail

MEDICARE: AMANDA BURKHART

MEDICARE: AMANDA BURKHART
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
1225X00000XOccupational TherapistOC013282PA

General Provider Information

NPI Number : 1255731477
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BURKHART
Provider Business Mailing Address
First Line : 1200 TEL HAI CIR
Second Line :
City : HONEY BROOK
State : PA
Zip : 19344-1271
Country : US
Telephone Number : 610-273-9333
Fax Number :
Provider Business Practice Location Address
First Line : 1200 TEL HAI CIR
Second Line :
City : HONEY BROOK
State : PA
Zip : 19344-1271
Country : US
Telephone Number : 610-273-9333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2014
Last Update Date : 08/20/2024

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