Individual
MRS. JEAN KOSNIK COLYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
206 RIDGEWOOD AVE, BRANDON, LA 33510
(813) 662-1060
Mailing address
1352 CORNER OAKS DRIVE, BRANDON, FL 33510
(813) 681-7390
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT 1478
FL
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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