Individual
MRS. CHRISTINE KOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3915 W VALLEY VIEW DR, FRANKLIN, WI 53132-7803
(414) 421-3672
Mailing address
3915 W VALLEY VIEW DR, FRANKLIN, WI 53132-7803
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1303-026
WI
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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