Individual
CARLY KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3452 LAKE LYNDA DR STE 200, ORLANDO, FL 32817-1481
(440) 774-7785
Mailing address
2039 CANTERBURY RD, WESTLAKE, OH 44145-3227
(440) 655-5143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9299
MA
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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