Individual
MISS JESSICA ANN KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12061 TEJON ST STE 300, WESTMINSTER, CO 80234-2325
(303) 665-6800
(303) 265-9820
Mailing address
12061 TEJON ST STE 300, WESTMINSTER, CO 80234-2325
(303) 665-6800
(303) 265-9820
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201008531
MI
225XP0200X
Pediatric Occupational Therapist
Primary
OT.0004892
CO
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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