Individual
KEVIN COSOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1370 MONTREAL RD STE 100, TUCKER, GA 30084-8128
(470) 719-4300
(470) 719-4304
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT014199
GA
Other
Enumeration date
08/14/2019
Last updated
03/12/2024
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