Organization
'OHANA OCCUPATIONAL THERAPY,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KATHLEEN KOSTKA (OWNER)
(509) 699-0214
Entity
Organization
Contact information
Practice address
8855 MOUNTAIN HOME RD, LEAVENWORTH, WA 98826-9392
(509) 699-0214
Mailing address
8855 MOUNTAIN HOME RD, LEAVENWORTH, WA 98826-9392
(509) 699-0214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/28/2009
Last updated
12/28/2009
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