Individual
CODY SKUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
166 SHADY SPRINGS RD, PORTAGE, PA 15946-7300
(814) 525-8632
Mailing address
166 SHADY SPRINGS RD, PORTAGE, PA 15946-7300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC013995
PA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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