Individual
JUDITH ANN KOSKODAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
122 S MAIN ST, ALMONT, MI 48003-1066
(800) 974-4378
(630) 515-1536
Mailing address
5314 BISHOP RD, DRYDEN, MI 48428-9335
(810) 796-3796
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501007048
MI
235Z00000X
Speech-Language Pathologist
5501007048
MI
Other
Enumeration date
12/16/2008
Last updated
08/26/2021
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