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Individual

DR. CHRISTOPHER JOHN KOSOBUCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
6224 FAYETTEVILLE RD., STE. 101, DURHAM, NC 27713
(919) 484-0033
(919) 486-3008
Mailing address
6224 FAYETTEVILLE RD., STE. 101, DURHAM, NC 27713
(919) 484-0033
(919) 484-3008

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9737
NC
2251X0800X
Orthopedic Physical Therapist
9737
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079TR
BLUE CROSS BLUE SHIELD
NC
Enumeration date
07/26/2006
Last updated
02/18/2013
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