Individual
JAMIE KOSTRZEBSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 858-2130
Mailing address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004669A
IN
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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