Individual
NATALYA ST. KOSTYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
79C WINTHROP RD, MONROE TWP, NJ 08831-6692
(212) 568-2772
Mailing address
79 C WINTHROP RD, MONROE TWP, NJ 08832
(212) 568-2772
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09065400
NJ
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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