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Individual

MS. MARY JANE KOSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
1350 MAIN ST, FRISCO, TX 75033-4348
(214) 705-9108
Mailing address
5275 TOWN AND COUNTRY BLVD APT 2205, FRISCO, TX 75034-6245
(972) 342-2939

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
205099
TX

Other

Enumeration date
08/10/2018
Last updated
08/10/2018
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