Individual
MS. EVELYN KOSTELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1215 E ORANGE ST, LAKELAND, FL 33801-5762
(863) 802-3800
(863) 802-0480
Mailing address
1215 E ORANGE ST, LAKELAND, FL 33801-5762
(863) 802-3800
(863) 802-0480
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
16805
FL
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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