Individual
THOMAS KOESTERER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., ATC
Contact information
Practice address
3601 PACIFIC AVE, STOCKTON, CA 95211-0900
(707) 834-9863
Mailing address
3601 PACIFIC AVE, STOCKTON, CA 95211-0110
(707) 834-9863
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002306-1
NY
Other
Enumeration date
08/31/2015
Last updated
08/10/2021
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