Individual
IMMACULATE JEMAIYO KOSGEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9798 DESERT LILY CIR, COLORADO SPRINGS, CO 80925-1184
(205) 413-9369
Mailing address
9798 DESERT LILY CIR, COLORADO SPRINGS, CO 80925-1184
(205) 413-9369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014941
CO
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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