Individual
JUSTINA MARIE KOSTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
323 N MAIN ST, BOX 7, KINGMAN, KS 67068-1335
(620) 532-4480
Mailing address
323 N MAIN ST, PO BOX 7, KINGMAN, KS 67068-1335
(620) 532-4480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-03679
KS
Other
Enumeration date
01/15/2007
Last updated
02/01/2008
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