Individual
ALISHA KOSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
217 S MULBERRY ST, DU QUOIN, IL 62832-1848
(618) 889-7128
Mailing address
217 S MULBERRY ST, DU QUOIN, IL 62832-1848
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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