Individual
WAVERLY BROEKSTRA KOSINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
201 CAHABA PARK CIR STE 400, BIRMINGHAM, AL 35242-8130
(832) 308-0381
Mailing address
201 CAHABA PARK CIR STE 400, BIRMINGHAM, AL 35242-8130
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
121794
TX
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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