Individual
MS. KATHERINE KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4341
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT0036
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/17/2008
Last updated
03/15/2011
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