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NPI Code Detail

MEDICARE: MORGAN KRIVAK OTR/L

MEDICARE: MORGAN KRIVAK 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
1225XP0200XPediatric Occupational Therapist09773MD

General Provider Information

NPI Number : 1710604368
Entity Type Code : Individual
Provider Name (Legal Business Name) : MORGAN KRIVAK OTR/L
Provider Business Mailing Address
First Line : 3295 SAINT GEORGES CT
Second Line :
City : HAMPSTEAD
State : MD
Zip : 21074-1154
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7 GWYNNS MILL CT STE I
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-3528
Country : US
Telephone Number : 410-849-9496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2022
Last Update Date : 10/25/2022

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