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NPI Code Detail

MEDICARE: ALEXANDRA KOLUCH

MEDICARE: ALEXANDRA KOLUCH
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 : 1881523405
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA KOLUCH
Provider Business Mailing Address
First Line : 1680 SPRING CREEK RD
Second Line :
City : MACUNGIE
State : PA
Zip : 18062-9742
Country : US
Telephone Number : 908-328-7253
Fax Number :
Provider Business Practice Location Address
First Line : 1680 SPRING CREEK RD
Second Line :
City : MACUNGIE
State : PA
Zip : 18062-9742
Country : US
Telephone Number : 908-328-7253
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ ALEXANDRA KOLUCH ” Practice Location

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