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Individual

MARY BETH KOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
417 FIRST AVE, SEWARD, AK 99664-0365
(907) 224-2800
Mailing address
PO BOX 365, SEWARD, AK 99664-0365
(907) 224-2800

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1009
AK
225XP0019X
Physical Rehabilitation Occupational Therapist
1009
AK

Other

Enumeration date
10/25/2012
Last updated
10/25/2012
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