Individual
EMILY ROSE KOSSIFOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1180 RARITAN RD, CLARK, NJ 07066-1311
(908) 276-2626
(908) 276-8260
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(732) 855-9751
(732) 855-9751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01870200
NJ
261QP2000X
Physical Therapy Clinic/Center
40QA01870200
NJ
Other
Enumeration date
07/31/2019
Last updated
09/10/2021
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