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1316995947

NPI Code Detail

MEDICARE: MS. ERICA KOPCHA MOT, OTR/L

MEDICARE: MS. ERICA KOPCHA MOT, 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	OC-009140	PA
2	225X00000X	Occupational Therapist	U1-0001110	DE

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00713323	OTHER	PA	MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	306169	OTHER		UNISON
2	1316995947	OTHER	PA	BRAVO
3	1749958	OTHER	PA	HIGHMARK PA BLUE SHIELD
4	30056540	OTHER	PA	KEYSTONE MERCY
5	1316995947	OTHER		DELAWARE PHYSICIANS CARE
6	2415419000	OTHER		IBC PERSONAL CHOICE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316995947
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERICA KOPCHA MOT, OTR/L

Provider Business Mailing Address
First Line	:	2 W 10TH ST
Second Line	:
City	:	MARCUS HOOK
State	:	PA
Zip	:	19061-4513
Country	:	US
Telephone Number	:	610-859-8850
Fax Number	:	610-859-7876

Provider Business Practice Location Address
First Line	:	8019 FRANKFORD AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19136-2786
Country	:	US
Telephone Number	:	215-338-8900
Fax Number	:	215-338-8923

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	10/13/2010

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Directions to “ MS. ERICA KOPCHA MOT, OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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