BAILEY KOSHATKA

Occupational Therapist

Active Individual
NPI: 1265144356

Practice Address

113 4TH AVENUE
Shell Lake, WI 54871

Phone: (715) 468-7833

Specialties

Specialty Code Primary License
Occupational Therapist 225X00000X Yes 8127-26 (WI)

Frequently Asked Questions

NPI 1265144356 is the National Provider Identifier for BAILEY KOSHATKA, a Occupational Therapist provider located in Shell Lake, WI. This NPI was enumerated on December 20, 2022.
BAILEY KOSHATKA practices at 113 4TH AVENUE, Shell Lake, WI 54871.

Quick Facts

NPI
1265144356
Type
Individual
Enumerated
Dec 20, 2022
Last Updated
Sep 7, 2023

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