Individual
MICHAELA KOKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
3000 GRAND SUMMIT BLVD APT 3212, CONCORD, NC 28027-8523
(240) 446-5134
Mailing address
3000 GRAND SUMMIT BLVD APT 3212, CONCORD, NC 28027-8523
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4948
NC
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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