Individual
JULIE KOSIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1086 HIGHWAY 315 BLVD, WILKES BARRE, PA 18702-7012
(570) 823-7761
Mailing address
23 CREEKSIDE DR, WILKES BARRE, PA 18702-7260
(570) 954-9560
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017191
PA
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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