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Contact Information

BAILEY P KOSHATKA
113 4TH AVENUE
SHELL LAKE, WI54871
 Phone: 715-468-7833
 Fax: 715-468-7839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BAILEY P KOSHATKA · (Female)

NPI # 1265144356
Status Active
Credentials
Entity Individual
Enumeration date 12/20/2022
Last updated 09/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 8127-26
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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