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NPI Code Detail

MEDICARE: MRS. KRISTINA KRUSZYNSKI OT

MEDICARE:  MRS. KRISTINA  KRUSZYNSKI  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 Therapist1103WV

General Provider Information

NPI Number : 1841316445
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINA KRUSZYNSKI OT
Provider Business Mailing Address
First Line : 200 GABRIELLE CT
Second Line :
City : HURRICANE
State : WV
Zip : 25526-9167
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 ASSOCIATION DR
Second Line :
City : CHARLESTON
State : WV
Zip : 25311-1270
Country : US
Telephone Number : 304-347-4372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 03/17/2015

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Directions to “ MRS. KRISTINA KRUSZYNSKI OT” Practice Location

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