| Doctor Name: | MR. PATRICK ALLAN COSGROVE |
| NPI Number: | 1003823246 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | 5501300362 |
| Business Practice Address: | 2147 Professional Dr Suite 2 Gaylord, MI - 49735 |
| Business Phone Number: | 9897320001 |
| Business Fax Number: | |
| Mailing Address: | 8872 Professional Dr, Suite C CADILLAC |
| State: | MI |
| Postal Code: | 496018481 |
| Phone Number: | 2318760010 |
| Fax Number: | 2318760241 |
| NPI Enumeration Date: | 08/01/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 5501300362 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |