Jacqueline Kossow, PT

NPI #1558567958 in Waterville, Ohio

Provider Information

NPI Number: 1558567958
Entity Type: Individual
Name: Jacqueline Kossow, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 22, 2007
Last Updated: Mar 18, 2013

Practice Location

Address: 555 ANTHONY WAYNE TRL
City: Waterville
State: Ohio
ZIP Code: 43566-1516
Phone: (419) 878-3901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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