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NPI Code Detail

MEDICARE: KARA KUNCIO

MEDICARE: KARA KUNCIO
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 TherapistOC011234PA

General Provider Information

NPI Number : 1508163841
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA KUNCIO
Provider Business Mailing Address
First Line : 55 W CENTER HILL RD
Second Line :
City : DALLAS
State : PA
Zip : 18612-1069
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 55 W CENTER HILL RD
Second Line :
City : DALLAS
State : PA
Zip : 18612-1069
Country : US
Telephone Number : 570-675-8600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2011
Last Update Date : 02/23/2011

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Directions to “ KARA KUNCIO ” Practice Location

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