Individual
NICOLE JACQUELINE KOSKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9700
(605) 444-9701
Mailing address
1020 W 18TH ST, SIOUX FALLS, SD 57104-4707
(605) 444-9700
(605) 444-9701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1922
SD
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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