KASSANDRA R KOSTOCK

LAKE GENEVA, WI
NPI1073158937
Former NameKASSANDRA R KANAGA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  6675-26)
Enumeration Date2019-11-14
Last Update Date2021-11-15
Business Address
KASSANDRA R KOSTOCK MSOT
700 GENEVA PKWY N STE A
LAKE GENEVA, WI 53147-4594
Phone number: 262-249-3505
Mailing Address
KASSANDRA R KOSTOCK MSOT
3301 W FOREST HOME AVE
MILWAUKEE, WI 53215-2843
Phone number:
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