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NPI Code Detail

MEDICARE: KRISTINE YURICHAK OTR/L

MEDICARE: KRISTINE YURICHAK OTR/L
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 Therapist

General Provider Information

NPI Number : 1851941421
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINE YURICHAK OTR/L
Provider Business Mailing Address
First Line : 7077 CHESTNUT DR
Second Line :
City : WALTON HILLS
State : OH
Zip : 44146-4129
Country : US
Telephone Number : 216-577-0572
Fax Number :
Provider Business Practice Location Address
First Line : 10 N MAIN ST
Second Line :
City : AKRON
State : OH
Zip : 44308-1958
Country : US
Telephone Number : 216-577-0572
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2019
Last Update Date : 09/16/2019

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Directions to “ KRISTINE YURICHAK OTR/L” Practice Location

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