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Individual

JESSICA KOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12380 DE PAUL DR, BRIDGETON, MO 63044-2511
(636) 695-2075
Mailing address
2 HARBOR BEND CT STE 102, LAKE SAINT LOUIS, MO 63367-1480

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019001401
MO

Other

Enumeration date
01/24/2019
Last updated
09/30/2024
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