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Individual

MR. RICHARD KUZELA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
C.O.T.A.

Contact information

Practice address
2701 SOUTHAMPTON RD, PHILADELPHIA, PA 19154-1205
(215) 856-2700
(215) 856-2777
Mailing address
PO BOX 870, HUNTINGDON, PA 16652-0870
(877) 312-6576
(814) 506-8213

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007879
PA
314000000X
Skilled Nursing Facility
OP007879
PA

Other

Enumeration date
01/05/2015
Last updated
01/05/2015
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