Individual
MICHAEL REGIS KOVACICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
745 GREENVILLE RD, MERCER, PA 16137-5070
(724) 662-5400
Mailing address
745 GREENVILLE RD, MERCER, PA 16137-5070
(724) 662-5400
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
L002214
PA
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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