Individual
BRENDA KOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 RANCH ROAD 3237, WIMBERLEY, TX 78676-5311
(512) 847-5540
Mailing address
176 DRAFT HORSE, FISCHER, TX 78623-1839
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2011805
TX
Other
Enumeration date
05/02/2019
Last updated
05/02/2019
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