Individual
MARY KOSENKRANIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 BECKS WOODS DR, BEAR, DE 19701-3835
(302) 392-3400
(302) 392-3401
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-000331
DE
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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