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NPI Code Detail

MEDICARE: DONNA KORTYKA OCCUPATIONAL THERAPI

MEDICARE:   DONNA  KORTYKA  OCCUPATIONAL THERAPI
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 Therapist000917OH

General Provider Information

NPI Number : 1205383379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA KORTYKA OCCUPATIONAL THERAPI
Provider Business Mailing Address
First Line : 5220 NORTH HIGH STREET
Second Line : OHIO STATE SCHOOL FOR THE BLIND
City : COLUMBUS
State : OH
Zip : 43214
Country : US
Telephone Number : 614-752-1359
Fax Number :
Provider Business Practice Location Address
First Line : 5220 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-1240
Country : US
Telephone Number : 614-752-1359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2016
Last Update Date : 09/07/2016

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Directions to “ DONNA KORTYKA OCCUPATIONAL THERAPI” Practice Location

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