Individual
ANGELA M KOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,OTR
Contact information
Practice address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 288-7606
Mailing address
7209 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2021
(317) 288-7606
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31003403A
IN
Other
Enumeration date
10/25/2014
Last updated
04/04/2022
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