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NPI Code Detail

MEDICARE: DR. LINDSEY AMBER KULCHIN OTD, OTR/L

MEDICARE: DR. LINDSEY AMBER KULCHIN OTD, 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
1225XP0200XPediatric Occupational Therapist14969NC

General Provider Information

NPI Number : 1962146910
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDSEY AMBER KULCHIN OTD, OTR/L
Provider Business Mailing Address
First Line : 424 E 36TH ST APT 456
Second Line :
City : CHARLOTTE
State : NC
Zip : 28205-1374
Country : US
Telephone Number : 727-424-9228
Fax Number :
Provider Business Practice Location Address
First Line : 5113 PIPER STATION DR STE 103
Second Line :
City : CHARLOTTE
State : NC
Zip : 28277-6690
Country : US
Telephone Number : 704-752-1616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2022
Last Update Date : 04/26/2022

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