Individual
JESSICA WILLIAMS KOESTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
123 DUPONT DR NW, AIKEN, SC 29801
(803) 648-0434
Mailing address
151 STONE MILL DR, MARTINEZ, GA 30907-1659
(803) 308-2221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3596
SC
Other
Enumeration date
07/29/2011
Last updated
09/07/2018
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