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NPI Code Detail

MEDICARE: DONNA D KOSHIBA OT001941

MEDICARE: DONNA D KOSHIBA OT001941
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistOT001941OH

General Provider Information

NPI Number : 1437362100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA D KOSHIBA OT001941
Provider Business Mailing Address
First Line : 1122 TAYLOR ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-2658
Country : US
Telephone Number : 740-588-2182
Fax Number : 740-588-2185
Provider Business Practice Location Address
First Line : 1122 TAYLOR ST
Second Line :
City : ZANESVILLE
State : OH
Zip : 43701-2658
Country : US
Telephone Number : 740-588-2182
Fax Number : 740-588-2185
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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Directions to “ DONNA D KOSHIBA OT001941” Practice Location

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