Individual
MS. JESSICA KOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 N UNIVERSITY DR, WAUKESHA, WI 53188-3174
(262) 524-6400
Mailing address
W132N11290 FOREST DR, GERMANTOWN, WI 53022-3655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
WI
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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