Individual
BETH ELAINE KOCIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5700 WATER TOWER PL, CLARKSTON, MI 48346-2668
(248) 625-0500
Mailing address
1390 COURTNEY CT, HARTLAND, MI 48353-3460
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201003517
MI
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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