Doctor Name: | MRS. STEPHANIE KOSIDOWSKI |
NPI Number: | 1225295017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 6265-024 |
Business Practice Address: | 4301 W Brown Deer Rd Suite 101 Brown Deer, WI - 532232400 |
Business Phone Number: | 4143577072 |
Business Fax Number: | 4143552767 |
Mailing Address: | N55w27853 Hanover Hill Rd, SUSSEX |
State: | WI |
Postal Code: | 530894528 |
Phone Number: | 2625381699 |
Fax Number: | |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6265-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |