Individual
KASEY R KOSTYSHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
300 EL CAMINO REAL, SAN CARLOS, CA 94070-2408
(650) 200-6154
Mailing address
25190 CYPRESS AVE APT 211, HAYWARD, CA 94544-2216
(916) 747-0817
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23306
CA
Other
Enumeration date
10/07/2022
Last updated
04/15/2026
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