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NPI Code Detail

MEDICARE: LEJLA KURTOVIC OTR/L

MEDICARE:   LEJLA  KURTOVIC  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 : 1225528326
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEJLA KURTOVIC OTR/L
Provider Business Mailing Address
First Line : 3063 33RD ST BSMT
Second Line :
City : ASTORIA
State : NY
Zip : 11102-1440
Country : US
Telephone Number : 718-688-9268
Fax Number :
Provider Business Practice Location Address
First Line : 770 GROTE ST
Second Line :
City : BRONX
State : NY
Zip : 10460-1007
Country : US
Telephone Number : 718-561-2052
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2018
Last Update Date : 05/14/2018

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Directions to “ LEJLA KURTOVIC OTR/L” Practice Location

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