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NPI Code Detail

MEDICARE: MS. AMY L BRZUZ OT

MEDICARE:  MS. AMY L BRZUZ  OT
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 TherapistOC005782LPA

General Provider Information

NPI Number : 1346338621
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMY L BRZUZ OT
Provider Business Mailing Address
First Line : 2700 W 21ST ST
Second Line : SUITE 24
City : ERIE
State : PA
Zip : 16506-2972
Country : US
Telephone Number : 814-833-2301
Fax Number : 814-833-9230
Provider Business Practice Location Address
First Line : 2700 W 21ST ST
Second Line : SUITE 24
City : ERIE
State : PA
Zip : 16506-2972
Country : US
Telephone Number : 814-833-2301
Fax Number : 814-833-9230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

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Directions to “ MS. AMY L BRZUZ OT” Practice Location

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