Healthcare Provider Details

I. General information

NPI: 1851584676
Provider Name (Legal Business Name): REBECCA ERIN BUCHINSKI OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2007
Last Update Date: 08/01/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MEMORY LANE EXT
YORK PA
17402-9601
US

IV. Provider business mailing address

70 BURBERRY LN
MOUNT WOLF PA
17347-9590
US

V. Phone/Fax

Practice location:
  • Phone: 717-757-5433
  • Fax: 717-751-0391
Mailing address:
  • Phone: 717-982-1271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC009230
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: