Individual
MRS. KRISTEN LEIGH KOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1328 REED STREET, GREEN BAY, WI 54303
(920) 606-6142
Mailing address
1328 REED ST, GREEN BAY, WI 54303-3106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4656-026
WI
Other
Enumeration date
08/11/2009
Last updated
03/28/2013
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