MEDICARE: STEPHANIE SKURSKI 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
1	225X00000X	Occupational Therapist	18861	FL

General Provider Information

NPI Number	:	1225632144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEPHANIE SKURSKI OTR/L

Provider Business Mailing Address
First Line	:	3454 TRINITY ST
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34291-6327
Country	:	US
Telephone Number	:	570-677-2786
Fax Number	:

Provider Business Practice Location Address
First Line	:	3454 TRINITY ST
Second Line	:
City	:	NORTH PORT
State	:	FL
Zip	:	34291-6327
Country	:	US
Telephone Number	:	570-677-2786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2020
Last Update Date	:	05/02/2023

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Directions to “ STEPHANIE SKURSKI OTR/L” Practice Location

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