Individual
BAILEY PAIGE KOSHATKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Mailing address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8127-26
WI
Other
Enumeration date
12/20/2022
Last updated
09/07/2023
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