Paul J Pavlikoski, OT
Individual provider Active NPI Occupational Therapist · Harveys Lake, PA
NPI 1295033280 · NPPES record last updated Apr 14, 2011
Key facts
- NPI
- 1295033280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OC008790 (PA)
- Practice address
- RR 2 Box 214
Kunkle Rd
Harveys Lake, PA 18618-9649 - Phone
- (215) 238-9848
- NPI assigned
- Mar 1, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC008790 | PA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC008790 | PA | Yes |
Addresses
Primary practice location
RR 2 Box 214
Kunkle Rd
Harveys Lake, PA 18618-9649
Mailing address
RR 2 Box 214
Kunille Rd
Harveys Lake, PA 18618-9649
Other providers in Harveys Lake, PA
- Colleen Kutchkus
- Michal Markwith
- Rachael Martin
- Catherine Olean
- Kathy Parancih
- Wendy Lee Rager
- John A Rothschild
- Amanda Shaver
- Lisa Strobel
All providers in Harveys Lake, PA · Occupational Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.