Individual
KIMBERLY ANNE KOSCHINEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
3 CORNER STONE DRIVE, SUITE 700, LANGHORNE, PA 19047
(215) 750-0501
(215) 340-1299
Mailing address
3761 BLACKBURN CT, CHALFONT, PA 18914-3631
(215) 750-0501
(215) 750-0525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008082
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1218373
AETNA - HMO
—
01
—
1747963
HIGHMARK BLUE SHIELD
—
01
—
203838157
UNITED
—
01
—
2727772000
IBC
—
01
—
7554721
AETNA - PPO
—
Enumeration date
10/10/2005
Last updated
01/15/2015
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