Individual
KATIE LYNN KOSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
4110 COPPER RIDGE DR STE 202, TRAVERSE CITY, MI 49684-6721
(231) 486-6138
Mailing address
38500 HARPER AVE, CLINTON TOWNSHIP, MI 48036-2838
(586) 805-1992
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008293
MI
Other
Enumeration date
12/09/2017
Last updated
12/09/2017
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