Individual
STACY ANN KOSCINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
4009 BELLAIRE BLVD, SUITE M, HOUSTON, TX 77025-1168
(713) 669-0042
Mailing address
12727 KIMBERLEY LN, STE 103, HOUSTON, TX 77024-4047
(713) 365-9338
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
1144210
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1046077
BLUE LINK NUMBER
TX
01
—
1144210
LICENSE
TX
Enumeration date
05/19/2006
Last updated
12/09/2016
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