Dan F Litchock, COTA

NPI #1760530802 in Goshen, New York

Provider Information

NPI Number: 1760530802
Entity Type: Individual
Name: Dan F Litchock, COTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Credential: COTA
Enumeration Date: Jan 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 146 BROADLEA RD
City: Goshen
State: New York
ZIP Code: 10924-5238
Phone: (845) 555-5555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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