Individual provider · Type 1 NPI

Kassandra R. Kostock, MSOT

Occupational Therapist · Lake Geneva, WI

NPI number 1073158937 Active

Practice location

700 Geneva Pkwy N Ste A
Lake Geneva, WI 53147-4594

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843

Other practice locations

  • 25250 75th St, Salem, WI 53168-8705 · (262) 843-4200

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X6675-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

4 other providers at this address

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About NPI 1073158937

Kassandra R. Kostock, MSOT's National Provider Identifier is 1073158937, issued on Nov 14, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Lake Geneva, WI. The record was last updated on Nov 15, 2021.