Individual
STACY KOSHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1433 N MAIN ST, BRYAN, OH 43506-1053
(419) 633-9191
Mailing address
1440 RAYS DR, BRYAN, OH 43506-9176
(419) 636-5445
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-4038
OH
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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