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John Mark Koucheravy, CPED
Pedorthist in Rockville, Maryland
NPI 1699245365

John Mark Koucheravy is a Pedorthist based in Charlottesville, MD. John Mark Koucheravy practices in Rockville, MD and has the professional credentials of CPED. The NPI Number for John Mark Koucheravy is 1699245365 and holds a License No. (Maryland).

The current practice location address for John Mark Koucheravy is 1643 Rockville Pike Unit B, Rockville, MD and can be reached out via phone at 301-811-3121. You can also correspond with John Mark Koucheravy through the mailing address at 1621 QUAIL RUN, CHARLOTTESVILLE, VA - 22911-9054 (mailing address contact number: ).

Location: 1643 Rockville Pike Unit B, Rockville, MD, 22911-9054
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699245365
Provider Name
John Mark Koucheravy
Credential
CPED
Provider Entity Type
Individual
Gender
Male
Address
1643 Rockville Pike Unit B, Rockville, MD, 22911-9054
Phone Number
301-811-3121
Fax Number
Provider Enumeration Date
11/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1643 Rockville Pike Unit B
City
Rockville
State
Maryland
Zip
20852-7601
Phone Number
301-811-3121
Fax Number
person
Provider Business Mailing Address Details
Address
1643 Rockville Pike Unit B
City
Rockville
State
Maryland
Zip
20852-7601
Phone Number
301-811-3121
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Pedorthist
Speciality
-
Taxonomy
224L00000X
License No.
()
Definition
An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.
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