Individual
BRITTANY KOSTICHKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
(920) 320-3100
Mailing address
1650 S 41ST ST, MANITOWOC, WI 54220-7316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9076-26
WI
Other
Enumeration date
12/29/2025
Last updated
12/29/2025
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