Individual
SHANNON KOSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3005 19TH ST, COLUMBUS, NE 68601-4248
(402) 562-3341
(402) 564-0730
Mailing address
1922 15TH ST, COLUMBUS, NE 68601-5127
(402) 563-3718
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
713
NE
Other
Enumeration date
05/03/2007
Last updated
11/09/2009
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