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Individual

CYNTHIA KOSCIELNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA, LMT

Contact information

Practice address
7101 DR MARTIN LUTHER KING JR ST N, ST PETERSBURG, FL 33702-5819
(727) 527-7231
Mailing address
2342 CHAUCER ST, CLEARWATER, FL 33765-4203
(727) 400-4988

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA17979
FL

Other

Enumeration date
02/09/2021
Last updated
02/09/2021
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