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Individual

ELISBETH SUSAN KOSEMPA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6551 PARK OF COMMERCE BLVD, BOCA RATON, FL 33487-8218
(800) 347-2264
Mailing address
712 N 23RD ST, BILLINGS, MT 59101-1025
(406) 208-3203

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10769
NC
225100000X
Physical Therapist
1706
MT
225100000X
Physical Therapist
Primary
21924
FL

Other

Enumeration date
05/14/2007
Last updated
07/08/2007
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