Basic Information
| Provider Information | |||||||||
| NPI: | 1306244389 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | DIROCCO | ||||||||
| FirstName: | KARA | ||||||||
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| Credential: | MS, OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1402 MINUTEMEN LN | ||||||||
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| City: | EAGLEVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 194036319 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 461 CANN RD | ||||||||
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| City: | WEST CHESTER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193821715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6106926362 | ||||||||
| FaxNumber: | 6106920917 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2014 | ||||||||
| LastUpdateDate: | 12/08/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | 225XP0200X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics |
No ID Information.