# JENNIFER DAWN COSMOPOULOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1699361824
- **Gender:** F
- **Credential:** DPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 006432 | CT | — |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | 006432 | CT | — |
| 225100000X | Physical Therapist | PT01540 | RI | Yes |

## Other

- **Enumeration date:** 12/11/2020
- **Last updated:** 08/07/2025