MEDICARE: CHRISTY K OSTROSKY

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
1	225X00000X	Occupational Therapist	001546	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891917043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY K OSTROSKY

Provider Business Mailing Address
First Line	:	PO BOX E
Second Line	:	300 MYRTLE ST
City	:	PIERCE CITY
State	:	MO
Zip	:	65723-0305
Country	:	US
Telephone Number	:	417-476-2555
Fax Number	:	417-476-5213

Provider Business Practice Location Address
First Line	:	300 MYRTLE ST
Second Line	:	SCHOOL DIST R6 PIERCE CITY
City	:	PIERCE CITY
State	:	MO
Zip	:	65723-0305
Country	:	US
Telephone Number	:	417-476-2555
Fax Number	:	417-476-5213

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	02/23/2009

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Directions to “ CHRISTY K OSTROSKY ” Practice Location

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