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Individual

EMILEE KUCHERUK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
4900 MASSACHUSETTS AVE NW STE 340, WASHINGTON, DC 20016-4358
(202) 621-9793
Mailing address
124 SENECA RIDGE DR, STERLING, VA 20164-1360
(703) 943-0398

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002253
VA

Other

Enumeration date
06/14/2021
Last updated
06/14/2021
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