NPI 1003673906

Matthew Koesterer, COTAL

Practitioner Occupational Therapy Assistant Freeburg, IL

Practice location

Address: 746 Urbanna Dr, Freeburg, IL 62243-1904
Phone: (618) 539-5856
Mailing address: 30 Rio Verde Dr, Belleville, IL 62221-3124

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.006101 (IL)

Other Occupational Therapy Assistant providers in Illinois →

Registry record

NPI: 1003673906
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Mar 2024
Record last updated: 6 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.