Krencik, Dalton

Krencik, Dalton is an sole proprietor health care provider with primary practice located at 4715 Kirby Loop Rd , Fort Pierce FL 34981-5345. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Krencik, Dalton can be contacted via phone (772) 577-6964.

Contact Information

Primary practice address
4715 Kirby Loop Rd Fort Pierce FL 34981-5345
Phone: (772) 577-6964
Fax: (772) 461-9954
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT22788 Florida

Profile Details

NPI number 1083369722
LBN Legal business name Krencik, Dalton
Credentials OTD, OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2022
Last updated Feb 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083369722 NPPES
Florida Other OT22788 FLORIDA DEPARTMENT OF HEALTH STATE LICENSE NUMBER

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