Individual
JIMMY KOSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1605 E 13 MILE RD APT 104, MADISON HEIGHTS, MI 48071-5018
(586) 864-6793
Mailing address
1605 E 13 MILE RD APT 104, MADISON HEIGHTS, MI 48071-5018
(586) 864-6793
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013094
MI
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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