Individual
STEPHEN M. KIESZKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3885
(319) 235-5295
Mailing address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3964
(319) 235-3137
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00192
IA
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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