Individual
KRISTEN KOSHALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8112
Mailing address
103 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-8112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8972-26
WI
Other
Enumeration date
08/06/2019
Last updated
08/03/2025
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