Individual
MELISSA RAE KOSTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
115130
TX
225XP0200X
Pediatric Occupational Therapist
OT7818
CA
Other
Enumeration date
03/07/2007
Last updated
06/05/2015
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