Matthew Koesterer, COTA/L
Occupational Therapy Assistant in Freeburg, IL. Individual provider (NPI-1).
NPI number1003673906
StatusActive
Last updated in NPPESMar 6, 2024
Details
- NPI
- 1003673906
- Entity type
- Individual (NPI-1)
- Name
- Matthew Koesterer
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2024
- Certification date
- Mar 6, 2024
- Last updated
- Mar 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 057.006101 | IL | Yes |
Practice location
746 Urbanna DrFreeburg, IL 62243-1904
Phone 618-539-5856
Mailing address
30 Rio Verde DrBelleville, IL 62221-3124
Phone 618-604-3508
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.