Individual
EMA KOSSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, LAT, ATC
Contact information
Practice address
2801 W BANCROFT ST, TOLEDO, OH 43606-3328
(419) 530-7758
Mailing address
PO BOX 877, BOILING SPRINGS, NC 28017-0877
(704) 418-8352
(704) 406-3595
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT.004969
OH
2255A2300X
Athletic Trainer
Primary
LAT-4000
NC
Other
Enumeration date
08/23/2016
Last updated
11/09/2018
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