Individual
CORINNA KOSTIKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1467 77TH ST, BROOKLYN, NY 11228-2425
(347) 452-0114
Mailing address
1467 77TH ST, BROOKLYN, NY 11228-2425
(347) 452-0114
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025391
NY
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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