Provider Demographics
NPI:1063835882
Name:JURCAK, SYLVIA K (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:K
Last Name:JURCAK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 CENTER ST
Mailing Address - Street 2:BLDG 2
Mailing Address - City:CHARDON
Mailing Address - State:OH
Mailing Address - Zip Code:44024-1098
Mailing Address - Country:US
Mailing Address - Phone:440-279-1700
Mailing Address - Fax:440-286-7106
Practice Address - Street 1:16000 E HIGH ST
Practice Address - Street 2:
Practice Address - City:MIDDLEFIELD
Practice Address - State:OH
Practice Address - Zip Code:44062-9474
Practice Address - Country:US
Practice Address - Phone:440-632-9062
Practice Address - Fax:440-632-6369
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1085-OT225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist