Individual
JOSEPH HENRY KOSTUCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2300 MANCHESTER EXPY, SUITE 101A, COLUMBUS, GA 31904-6802
(706) 256-0825
Mailing address
631 LAUREL RIDGE LN, CATAULA, GA 31804-2870
(706) 593-7540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT005867
GA
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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