Organization
KOSIK ENTERPRISE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYDNEY LEAH KOSIK PT, DPT (PT AND OWNER)
(570) 332-4924
Entity
Organization
Contact information
Practice address
1620 DANIELS RD STE 130, WINTER GARDEN, FL 34787-5604
(570) 332-4924
Mailing address
10031 GRAND CANAL DR UNIT 18302, WINDERMERE, FL 34786-5861
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/28/2023
Last updated
08/01/2023
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