Individual
JAMIE KOSCH MIKOLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2351 BOSTON POST ROAD, SUITE 204, GUILFORD, CT 06437-4360
(203) 453-4321
(203) 453-4322
Mailing address
105 WINTHROP RD, GUILFORD, CT 06437-1632
(203) 453-1535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007023
CT
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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