Individual
NICOLE KOSIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
28 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 871-0789
(508) 871-0707
Mailing address
28 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 871-0789
(508) 871-0707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13111
MA
225X00000X
Occupational Therapist
—
MA
Other
Enumeration date
02/12/2019
Last updated
03/22/2023
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