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NPI Code Detail

MEDICARE: HUNTER KORCHAK

MEDICARE: HUNTER KORCHAK
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 TherapistOC12576PA

General Provider Information

NPI Number : 1245658061
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUNTER KORCHAK
Provider Business Mailing Address
First Line : 1045 AJAY DR
Second Line :
City : SOUTH PARK
State : PA
Zip : 15129-9560
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 90 HUMBERT LN
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-6549
Country : US
Telephone Number : 724-228-5666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2014
Last Update Date : 03/29/2014

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Directions to “ HUNTER KORCHAK ” Practice Location

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