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NPI Code Detail

MEDICARE: ELIZABETH CATHERINE KOZUCH OTR/L

MEDICARE: ELIZABETH CATHERINE KOZUCH 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 Therapist437400PA

General Provider Information

NPI Number : 1407448681
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH CATHERINE KOZUCH OTR/L
Provider Business Mailing Address
First Line : 1345 ENTERPRISE DR
Second Line :
City : WEST CHESTER
State : PA
Zip : 19380-5964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 CORPORATE CENTER DR STE 115
Second Line :
City : CORAOPOLIS
State : PA
Zip : 15108-4332
Country : US
Telephone Number : 412-299-0704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2021
Last Update Date : 02/09/2021

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Directions to “ ELIZABETH CATHERINE KOZUCH OTR/L” Practice Location

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