Individual
ALISA N KOCIAN
Active
Individual
ALISA N KOCIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102904
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
476R5KO
BCBS-MINNESOTA
MN
01
—
64-05273
MEDICA
MN
01
—
HP49567
HEALTHPARTNERS
MN
Enumeration date
05/19/2006
Last updated
04/09/2020
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