Individual
EMMA LYNN KOSBAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5920 SANDY FORKS RD STE 200, RALEIGH, NC 27609-3814
(919) 954-3174
Mailing address
500 SAINT ALBANS DR UNIT 237, RALEIGH, NC 27609-6667
(435) 230-5622
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
P23209
NC
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
02/02/2026
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