Kassandra R Kostock, MSOT
NPI #1073158937 in Lake Geneva, Wisconsin
Provider Information
- NPI Number
- 1073158937
- Entity Type
- Individual
- Name
- Kassandra R Kostock, MSOT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Credential
- MSOT
- Enumeration Date
- Nov 14, 2019
- Last Updated
- Nov 15, 2021
Practice Location
- Address
- 700 GENEVA PKWY N STE A
- City
- Lake Geneva
- State
- Wisconsin
- ZIP Code
- 53147-4594
- Phone
- (262) 249-3505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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