Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW KOESTERER, COTA/L
Active Sole ProprietorMATTHEW KOESTERER, COTA/L is a Occupational Therapy Assistant healthcare provider located in FREEBURG, Illinois. NPI 1003673906 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · FREEBURG, IL
Registration Details
- NPI Number
- 1003673906
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2024 (2.4811805484559 yrs)
- Last Updated
- Mar 6, 2024
- License
-
057.006101 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
746 URBANNA DRFREEBURG, IL, 622431904Browse IL providers · Browse ZIP 62243
- Phone
- 6185395856
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.