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NPI Code Detail

MEDICARE: RENEE GLUCHOWSKI OTR/L

MEDICARE: RENEE GLUCHOWSKI 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 TherapistOC017288PA

General Provider Information

NPI Number : 1821677782
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE GLUCHOWSKI OTR/L
Provider Business Mailing Address
First Line : 508 LAUREL CT
Second Line :
City : EXETER
State : PA
Zip : 18643-1140
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1003 WYOMING AVE
Second Line :
City : FORTY FORT
State : PA
Zip : 18704-4002
Country : US
Telephone Number : 570-846-0455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2021
Last Update Date : 04/06/2021

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