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NPI Code Detail

MEDICARE: AMRUTA KALBURGE OTR

MEDICARE: AMRUTA KALBURGE OTR
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 TherapistOC009686PA

General Provider Information

NPI Number : 1306961354
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMRUTA KALBURGE OTR
Provider Business Mailing Address
First Line : 106 CONWAY CT
Second Line :
City : EXTON
State : PA
Zip : 19341-2916
Country : US
Telephone Number : 732-925-6856
Fax Number :
Provider Business Practice Location Address
First Line : 800 W MINER ST
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-2149
Country : US
Telephone Number : 610-738-3605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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