Provider Demographics
NPI:1336412154
Name:PECHINKA, MICHAEL ROBERT (MS OTRL)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ROBERT
Last Name:PECHINKA
Suffix:
Gender:M
Credentials:MS OTRL
Other - Prefix:
Other - First Name:VR2REHAB
Other - Middle Name:VR2REHAB
Other - Last Name:VR2REHAB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:341 SUNDANCE DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3686
Mailing Address - Country:US
Mailing Address - Phone:908-268-5061
Mailing Address - Fax:
Practice Address - Street 1:341 SUNDANCE DR
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-3686
Practice Address - Country:US
Practice Address - Phone:908-268-5061
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2023-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC012091225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist