Individual
MR. COREY COSGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1000 E TINKHAM AVE, LUDINGTON, MI 49431-1568
(231) 845-6291
(231) 843-4121
Mailing address
1000 E TINKHAM AVE, LUDINGTON, MI 49431-1568
(231) 845-6291
(231) 843-4121
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003621
MI
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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