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Individual
JENNIFER DAWN COSMOPOULOS
Active
Individual
JENNIFER DAWN COSMOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
006432
CT
2081P0010X
Pediatric Rehabilitation Medicine Physician
006432
CT
225100000X
Physical Therapist
Primary
PT01540
RI
Other
Enumeration date
12/11/2020
Last updated
08/07/2025
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