Individual
MRS. JAY A KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2129 W NEW HAVEN AVE, MELBOURNE, FL 32904-3875
(321) 259-6599
(717) 412-5829
Mailing address
2129 W NEW HAVEN AVE, MELBOURNE, FL 32904-3875
(321) 259-6599
(717) 412-5829
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT9930
FL
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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