Doctor Name: | PERRY KOSLOW |
NPI Number: | 1235119926 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT015184 |
Business Practice Address: | 330 N Main St Suite 202 Moscow, PA - 184449003 |
Business Phone Number: | 5708428191 |
Business Fax Number: | 5708428192 |
Mailing Address: | Rr 1 Box 140c, TOWANDA |
State: | PA |
Postal Code: | 188489787 |
Phone Number: | 5702657688 |
Fax Number: | 5702657422 |
NPI Enumeration Date: | 01/19/2006 |
NPI Last Update Date: | 05/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT015184 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |