Individual provider · NPI-1
Mary Kathleen Kostka, OTR/L
Occupational Therapist · Leavenworth, WA
NPI number1356580526
StatusActive
Last updated in NPPESDec 28, 2009
Details
- NPI
- 1356580526
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mary Kathleen Kostka
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 11, 2009
- Last updated
- Dec 28, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
8855 Mountain Home RdLeavenworth, WA 98826-9392
Phone 509-699-0214
Mailing address
8855 Mountain Home RdLeavenworth, WA 98826-9392
Phone 509-699-0214
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