Individual
MS. KIMBERLY ANN DEKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
1555 INDUSTRIAL DR, OWOSSO, MI 48867-9775
(989) 723-6791
Mailing address
PO BOX 428, OWOSSO, MI 48867-0428
(989) 723-6791
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008381
MI
Other
Enumeration date
10/14/2012
Last updated
07/16/2013
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