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Individual

GEORGE RONALD KOCSIS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
PROVIDENCE ST. MARY MEDICAL CENTER 401 W. POPLAR ST., WALLA WALLA, WA 99362-4619
(509) 897-2100
(509) 897-5508
Mailing address
PROVIDENCE ST. MARY MEDICAL CENTER 401 W. POPLAR ST., WALLA WALLA, WA 99362
(509) 897-2100
(509) 897-5508

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
113371
TX
225X00000X
Occupational Therapist
OT-498
ID
225X00000X
Occupational Therapist
Primary
OT00002963
WA

Other

Enumeration date
05/23/2008
Last updated
07/21/2022
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