Individual
MRS. JENNIFER LYNN KOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1400 POPLAR ST, HANCOCK, MI 49930-1121
(906) 482-6644
Mailing address
19371 COPPER RIDGE RD, HOUGHTON, MI 49931-9272
(906) 231-7403
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502000358
MI
Other
Enumeration date
01/21/2012
Last updated
01/21/2012
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