Individual
MR. DOMINIC STEVEN CUCHARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, OTR/L
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC009211
PA
Other
Enumeration date
01/23/2008
Last updated
05/12/2008
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