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NPI Code Detail

MEDICARE: MRS. CRYSTAL KOSTER MOT/L

MEDICARE: MRS. CRYSTAL KOSTER MOT/L
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
1225X00000XOccupational TherapistOC015564PA
2225X00000XOccupational Therapist06296MD

General Provider Information

NPI Number : 1770823833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CRYSTAL KOSTER MOT/L
Provider Business Mailing Address
First Line : 12525 ROCKDALE RD
Second Line :
City : CLEAR SPRING
State : MD
Zip : 21722-1532
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2085 WAYNE RD
Second Line :
City : CHAMBERSBURG
State : PA
Zip : 17202-8586
Country : US
Telephone Number : 717-709-0668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2013
Last Update Date : 03/17/2018

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