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NPI Code Detail

MEDICARE: MRS. KIMBERLY A DZURINKO O.T.

MEDICARE: MRS. KIMBERLY A DZURINKO O.T.
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
1174400000XSpecialistOC008636PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OC008636OTHERPAPA LICENSE

General Provider Information

NPI Number : 1780942185
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIMBERLY A DZURINKO O.T.
Provider Business Mailing Address
First Line : 42 E MAIDEN ST
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-4912
Country : US
Telephone Number : 724-225-2228
Fax Number : 724-225-5746
Provider Business Practice Location Address
First Line : 42 E MAIDEN ST
Second Line :
City : WASHINGTON
State : PA
Zip : 15301-4912
Country : US
Telephone Number : 724-225-2228
Fax Number : 724-225-5746
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2012
Last Update Date : 11/04/2015

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