Individual
NICHOLE CAROLYN KOSTOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT,BS
Contact information
Practice address
13607 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0809
(509) 921-9798
(509) 921-9774
Mailing address
13607 E SPRAGUE AVE, SPOKANE VALLEY, WA 99216-0809
(509) 921-9798
(509) 921-9774
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004411
WA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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