Individual
SUSAN WARD KOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
207 W JACKSON ST, RIDGELAND, MS 39157-2355
(601) 362-0859
Mailing address
246 LAKE CIR, MADISON, MS 39110-6303
(865) 300-5149
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PTH7184
AL
2251P0200X
Pediatric Physical Therapist
Primary
PTH7184
AL
Other
Enumeration date
09/15/2015
Last updated
09/15/2015
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